ArticleInternational journal of clinical pharmacy2017
Improving communication of medication changes using a pharmacist-prepared discharge medication management summary.
Article in International journal of clinical pharmacy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Bridging the Gap: Systematic Review of Strategies to Facilitate Post-Discharge Continuity of In-Hospital Medication Changes in Older Adults.Drugs & aging · 2026Pooled it
- A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety.BMC health services research · 2019Pooled it
- Effect of integrated medicines management on quality of discharge medication information-a secondary endpoint in a randomized controlled trial.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024Trial
- 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 complexities of communication at hospital discharge of older patients: a qualitative study of healthcare professionals' views.BMC health services research · 2023Article
- COVID-19 Patients' Medication Management during Transition of Care from Hospital to Virtual Care: A Cross-Sectional Survey and Audit.Pharmacy (Basel, Switzerland) · 2023Article
- Exploring pharmacists' perspectives on preparing discharge medicine lists: A qualitative study.Exploratory research in clinical and social pharmacy · 2023Article
- Learning on the run - a qualitative, longitudinal study of pharmacy educators' experiences implementing a hospital pharmacy residency program.BMC medical education · 2022Article
- Healthcare professionals' perceptions on medication communication challenges and solutions - text mining and manual content analysis - cross-sectional study.BMC health services research · 2021Article
- Pharmaceutical Discharge Management: Implementation in Swiss Hospitals Compared to International Guidelines.Pharmacy (Basel, Switzerland) · 2021Article
- Medication transitions: Vulnerable periods of change in need of human factors and ergonomics.Applied ergonomics · 2021Article
- Pharmacist-Physician Collaboration to Improve the Accuracy of Medication Information in Electronic Medical Discharge Summaries: Effectiveness and Sustainability.Pharmacy (Basel, Switzerland) · 2019Article
- Accuracy of pharmacist electronic discharge medicines review information transmitted to primary care at discharge.International journal of clinical pharmacy · 2019Observational
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Discontinuity of care between hospital and primary care is often due to poor information transfer. Medication information in medical discharge summaries (DS) is often incomplete or incorrect. The effectiveness and feasibility of hospital pharmacists communicating medication information, including changes made in the hospital, is not clearly defined. Objective To explore the impact of a pharmacist-prepared Discharge Medication Management Summary (DMMS) on the accuracy of information about medication changes provided to patients' general practitioners (GPs). Setting Two medical wards at a major metropolitan hospital in Australia. Method An intervention was developed in which ward pharmacists communicated medication change information to GPs using the DMMS. Retrospective audits were conducted at baseline and after implementation of the DMMS to compare the accuracy of information provided by doctors and pharmacists. GPs' satisfaction with the DMMS was assessed through a faxed survey. Main outcome measure Accuracy of medication change information communicated to GPs; GP satisfaction and feasibility of a pharmacist-prepared DMMS. Results At baseline, 263/573 (45.9%) medication changes were documented by doctors in the DS. In the post-intervention audit, more medication changes were documented in the pharmacist-prepared DMMS compared to the doctor-prepared DS (72.8% vs. 31.5%; p < 0.001). Most GPs (73.3%) were satisfied with the information provided and wanted to receive the DMMS in the future. Completing the DMMS took pharmacists an average of 11.7 minutes. Conclusion The accuracy of medication information transferred upon discharge can be improved by expanding the role of hospital pharmacists to include documenting medication changes.
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