Observational studyInternational journal of clinical pharmacy2015
Completeness of medication-related information in discharge letters and post-discharge general practitioner overviews.
Observational study in International journal of clinical pharmacy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Medication Counselling in Older Patients Prior to Hospital Discharge: A Systematic Review.Drugs & aging · 2020Pooled it
- A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety.BMC health services research · 2019Pooled it
- The effect of a pharmacy-led transitional care program on medication-related problems post-discharge: A before-After prospective study.PloS one · 2019Trial
- Occurrence of Potential Prescribing Cascades After Hospital Discharge: A Cohort Study.Pharmacoepidemiology and drug safety · 2026Article
- Article
- Introducing a pharmacist-led transmural care program to reduce drug-related problems in orthogeriatric patients: a prospective interventional study.BMC geriatrics · 2024Article
- The Impact of Real-Time Documentation of In-Hospital Medication Changes on Preventing Undocumented Discrepancies at Discharge and Improving Physician-Pharmacist Communication: A Retrospective Cohort Study and Survey.Journal of multidisciplinary healthcare · 2024Article
- The Impact of an Electronic Medication Management System on Medication Deviations on Admission and Discharge from Hospital.International journal of environmental research and public health · 2023Article
- Implementation of a pharmacist-led transitional pharmaceutical care programme: Process evaluation of Medication Actions to Reduce hospital admissions through a collaboration between Community and Hospital pharmacists (MARCH).Journal of clinical pharmacy and therapeutics · 2022Article
- Transition of care in stroke patients discharged home: a single-center prospective cohort study.BMC health services research · 2021Article
- What makes a "successful" or "unsuccessful" discharge letter? Hospital clinician and General Practitioner assessments of the quality of discharge letters.BMC health services research · 2021Article
- The effect of a pharmaceutical transitional care program on rehospitalisations in internal medicine patients: an interrupted-time-series study.BMC health services research · 2019Article
- The Patient-Held Active Record of Medication Status (PHARMS) study: a mixed-methods feasibility analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Article
- The Nature and Cost of Readmissions after Work-Related Traumatic Spinal Injuries in New South Wales, Australia.International journal of environmental research and public health · 2019Article
- Elderly at risk in care transitions When discharge summaries are poorly transferred and used -a descriptive study.BMC health services research · 2018Article
- A dual intervention in geriatric patients to prevent drug-related problems and improve discharge management.International journal of clinical pharmacy · 2018Article
- In-hospital prescription changes and documentation in the medical records of the primary care provider: results from a medical record review study.BMC health services research · 2017Article
- Does an integrated information technology system provide support for community pharmacists undertaking Discharge Medicines Reviews? An exploratory study.Integrated pharmacy research & practice · 2017Article
- Medication at discharge in an orthopaedic surgical ward: quality of information transmission and implementation of a medication reconciliation form.International journal of clinical pharmacy · 2016Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCommunication and documentation of medication-related information are needed to improve continuity of care.
objectiveTo assess the completeness of medication-related information in discharge letters and post-discharge general practitioner (GP)-overviews.
settingA general teaching hospital in Amsterdam, the Netherlands.
methodAn observational study was performed. Patients from several departments were included after medication reconciliation at hospital discharge. In liaison with the resident and patient, a pharmacy team prepared a Transitional Pharmaceutical Care (TPC)-overview of current medications, including changes and allergies. The resident was instructed to download the TPC-overview into the discharge letter instead of typing a self-made medication list. Medication overviews were gathered from the GP 2 weeks after the handover of the discharge letter. The TPC-overview (gold standard) was compared with the information in the discharge letter and post-discharge GP-overviews regarding correct medications and allergies. Descriptive data analysis was used.
main outcome measureThe number and percentage of complete medication-related information in the discharge letter and the GP-overview were compared to the TPC-overview.
resultsNinety-nine patients were included. Medication-related information was complete in 62 (63 %) of 99 discharge letters. Sixteen of 99 GP-overviews (16 %) were complete. Communication of medication-related information increased documentation by the GP, but the medication history could still be incomplete, mainly regarding medication changes and allergies.
conclusionsMedication-related information is lost in discharge letters and GP-overviews post-discharge despite in-hospital medication reconciliation. This could result in discontinuity of care.
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Registered trials
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