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(medication reconciliation)
1,959 results
  • Impact of Pharmacist Involvement in Heart Failure Transition of Care. [Journal Article]
    Ann Pharmacother 2019; :1060028019882685Neu R, Leonard MA, … Giuliano CA
  • Background: Heart failure (HF) transition of care (TOC) programs may improve continuity of care and coordination and decrease hospital readmissions. Objective: This study evaluated the impact of pharmacy-led HF TOC on HF readmission rate. Methods: This was a single-center, pre-post quasi-experimental study. Pharmacy TOC comprised admission and discharge medication reconciliations and patient e…
  • Development and Implementation of a Pharmacy Technician Medication History Program. [Journal Article]
    J Pharm Pract 2019; :897190019878565Davidson TR, Hobbins MA, Blubaugh CM
  • CONCLUSIONS: A pharmacy technician medication history program was developed and implemented at a large community teaching hospital at the recommendation of a system-wide interdisciplinary medication reconciliation core team to improve the current process. Important initial steps included creation of a high-level plan for program rollout, determination of program scope and design, evaluation of staffing and workspace needs, and identification of training requirements. Development of a data collection plan for the analysis of process and outcomes measures was established to support program continuation and expansion. At the pharmacy level, regularly scheduled meetings were held to gather feedback and implement changes as the program expanded in services and scope. Educational materials were revised and additional resources created to maintain consistency with technician education. Incorporation of control elements such as monthly review of process measure data, biannual accuracy validation, and annual competency assessment helped affirm program sustainability. Throughout program implementation, the importance of using an interdisciplinary approach and establishing strong interprofessional relationships were identified as key elements for continued success.A successful medication history program utilizing pharmacy technicians to gather medication information can be implemented and maintained through the use of standardized training documents, regularly scheduled meetings for feedback and education, and continued interdisciplinary collaboration.
  • Improving Care Transitions to Drive Patient Outcomes: The Triple Aim Meets the Four Pillars. [Journal Article]
    Prof Case Manag 2019 Nov/Dec; 24(6):297-305Campagna V, Nelson SA, Krsnak J
  • CONCLUSIONS: Two frameworks that support care transitions are the Triple Aim of improving the individual's experience of care, advancing the health of populations, and reducing the costs of care (), and Coleman's "Four Pillars" of care transition activities of medication management, patient-centered health records, follow-up visits with providers and specialists, and patient knowledge about red flags that indicate worsening conditions or drug reactions (). From a case management perspective, these approaches and their goals are interrelated. As an advocate for the individual and at the hub of the care team, the professional case manager engages in important activities such as facilitating communication across multiple providers and care settings, arranging "warm handoffs," undertaking medication reconciliation, and engaging in follow-up, particularly with high-risk patients. To support successful transitions of care, case managers must adopt best practices and advocate within their organizations for systematic approaches to care transitions to improve outcomes.
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