Primary care physician communication at hospital discharge reduces medication discrepancies

Lee A. Lindquist*, Atsuko Yamahiro, Arianne Garrett, Charles Zei, Joseph M. Feinglass

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

BACKGROUND: Medication discrepancies are common as patients transition from hospital to home. Errors with post-discharge medication regimens may play a role in hospital readmissions. OBJECTIVES: To determine whether primary care physician (PCP) contact with patients at hospital discharge impacts the frequency of medication discrepancies at 24 hours post-discharge. DESIGN: With the PCP-Enhanced Discharge Communication Intervention, PCPs were asked to speak with treating hospitalists and contact patients within 24 hours of hospital discharge (either in person or by phone) to discuss any hospital medication changes. Research staff enrolled subjects during their hospitalization and telephoned subjects 48 hours post-discharge to determine medication discrepancies and PCP contact. PARTICIPANTS: One hundred fourteen community-dwelling adults, admitted to acute medicine services >24 hours on ≥5 medications. RESULTS: Of the 114 subjects enrolled in the hospital, 75 subjects completed 48 hours postdischarge phone interviews. Of the 75 study patients, 39 patients (50.6%) experienced a total of 84 medication discrepancies (mean, 2.1 discrepancies/patient). Subjects who were contacted by their PCP at discharge were 70% less likely to have a discrepancy when compared with those not contacted (P=0.04). Males were 4.34 times more likely to have a discrepancy (P=0.02). CONCLUSION: PCP communication with patients within 24 hours of discharge was associated with decreased medication discrepancies. Our results further demonstrate the importance of PCP involvement in the hospital discharge process. Journal of Hospital Medicine 2013;8:672-677.

Original languageEnglish (US)
Pages (from-to)672-677
Number of pages6
JournalJournal of hospital medicine
Volume8
Issue number12
DOIs
StatePublished - Dec 1 2013

ASJC Scopus subject areas

  • Leadership and Management
  • Internal Medicine
  • Fundamentals and skills
  • Health Policy
  • Care Planning
  • Assessment and Diagnosis

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