Evidence map›Paper›PMID 27673753›Full record

ArticleJournal of the American Geriatrics Society2016

High Prevalence of Medication Discrepancies Between Home Health Referrals and Centers for Medicare and Medicaid Services Home Health Certification and Plan of Care and Their Potential to Affect Safety of Vulnerable Elderly Adults.

Abraham A Brody, Bryan Gibson, David Tresner-Kirsch, Heidi Kramer, Iona Thraen, Matthew E Coarr, Randall Rupper

Open access · greenAbstract readComparative Study
In one paragraph

Article in Journal of the American Geriatrics Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Ambulatory Medication Safety in Primary Care: A Systematic Review.Journal of the American Board of Family Medicine : JABFM
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Challenges in Deprescribing among Older Adults in Post-Acute Care Transitions to Home.Journal of the American Medical Directors Association · 2024
    Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Incorporating home healthcare nurses' admission information needs to inform data standards.Journal of the American Medical Informatics Association : JAMIA · 2020
    Observational
  18. Article
  19. Article
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Abraham A BrodyGeriatric Research Education and Clinical Center, James J. Peters Bronx Veterans Affairs Medical Center, Bronx, New York.ORCID 0000-0002-3405-7043
Bryan GibsonInformatics Decision-Enhancement and Analytic Sciences, George E. Wahlen Veterans Affairs Medical Center, Salt Lake City, Utah.
David Tresner-KirschMITRE Corporation, Bedford, Massachusetts.
Heidi KramerInformatics Decision-Enhancement and Analytic Sciences, George E. Wahlen Veterans Affairs Medical Center, Salt Lake City, Utah.
Iona ThraenGeriatric Research Education and Clinical Center, George E. Wahlen Veterans Affairs Medical Center, Salt Lake City, Utah.
Matthew E CoarrMITRE Corporation, Bedford, Massachusetts.
Randall RupperGeriatric Research Education and Clinical Center, George E. Wahlen Veterans Affairs Medical Center, Salt Lake City, Utah.
University of Utah · USMitre (United States) · USJohn A. Hartford Foundation · US

Funding

Intramural VA VA999999
6 · The paper itself

Abstract

objectivesTo describe the prevalence of discrepancies between medication lists that referring providers and home healthcare (HH) nurses create.

designThe active medication list from the hospital at time of HH initiation was compared with the HH agency's plan of care medication list. An electronic algorithm was developed to compare the two lists for discrepancies.

settingSingle large hospital and HH agency in the western United States.

participantsIndividuals referred for HH from the hospital in 2012 (N = 770, 96.3% male, median age 71). MEASUREMENTS: Prevalence was calculated for discrepancies, including medications missing from one list or the other and differences in dose, frequency, or route for medications contained on both lists.

resultsParticipants had multiple medical problems (median 16 active problems) and were taking a median of 15 medications (range 1-93). Every participant had at least one discrepancy; 90.1% of HH lists were missing at least one medication that the referring provider had prescribed, 92.1% of HH lists contained medications not on the referring provider's list, 89.8% contained medication naming errors. 71.0% contained dosing discrepancies, and 76.3% contained frequency discrepancies.

conclusionDiscrepancies between HH and referring provider lists are common. Future work is needed to address possible safety and care coordination implications of discrepancies in this highly complex population.

Indexed as

Medication ErrorsMedication ReconciliationMedication Therapy ManagementReferral and ConsultationTransitional CareAgedAlgorithmsCenters for Medicare and Medicaid Services, U.S.FemaleHome Care ServicesHumansMaleMedicaidMedicareNeeds AssessmentQuality Improvementcare coordinationhome healthmedication reconciliationsafetytransitional care

Identifiers

PMID27673753
PMCPMC7293876
OpenAlexW2523790357

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.