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Title: Gaps in continuity of medication management during the transition from hospital to residential care: an observational study (MedGap Study).
Austin Authors: Elliott, Rohan A ;Tran, Tim ;Taylor, Simone E ;Harvey, Penelope A;Belfrage, Mary K;Jennings, Rhonda J;Marriott, Jennifer L
Affiliation: Pharmacy Department, Austin Health, Heidelberg, Victoria, Australia
Issue Date: 16-Feb-2012
Publication information: Australasian Journal On Ageing 2012; 31(4): 247-54
Abstract: To assess continuity of medication management during transition from hospital to residential care facilities (RCFs).Telephone interviews with RCF staff were performed 24 hours after patient transfer to determine the proportion of patients with: missed or significantly delayed doses; RCF medication chart not written/updated in time for the first dose; suitably packed medications not available for the first dose; and RCF medication chart written/updated by a locum doctor. Retrospective audit was used to identify discharge summary discrepancies.Seventy-five doses for 37/202 (18.3%) patients were missed or significantly delayed in the 24 hours after discharge. One hundred and twenty-five (61.9%) patients did not have their medication chart written/updated and 77 (38.1%) did not have suitably packed medications available for the first dose. Locum doctors wrote RCF medication charts for 66 (32.7%) patients. One hundred and ninety-seven of 392 (50.3%) changes to regularly scheduled medications were communicated.Strategies are needed to address gaps in the continuity of medication management.
Gov't Doc #: 23252983
DOI: 10.1111/j.1741-6612.2011.00586.x
Journal: Australasian journal on ageing
Type: Journal Article
Subjects: Aged
Aged, 80 and over
Continuity of Patient Care.organization & administration
Medication Errors.prevention & control
Patient Discharge
Patient Transfer.organization & administration
Residential Treatment.organization & administration
Retrospective Studies
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