Medication Errors
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- Reducing Medication Errors After Hospital DischargeElena Borrelli M.S. PAC
- Discharge Day!
- Pharmacist-driven discharge medication reconciliation program
- Opportunity for Change
- Self-administerd medication programs
- During a hospital stay, a patient’s medication are often discontinued, changed in dose and frequency, and often new medications are added. Patients are often seen by multiple different healthcare provides, who each review and often make changes to medication. By the time of hospital discharge, each patient requires accurate medication reconciliation to ensure that the proper medications are prescribe. In addition patients require a clear understanding of how their medications need to be taken.
- Cause for Concern
- Medication errors after hospital discharge occur as often as 50% of the time.1 There are significant ongoing concerns regarding medication errors during or after discharge, that the Joint Commission has listed improving medication reconciliation as one of the 2021 Patient Safety Goals.2
- Reducing Medication Errors After Hospital Discharge Project
- Studies have found that pharmacist-driven discharge medication reconciliation programs have reduced medication errors at discharge, but overall did not have a statistically significant difference.3A recent study found that hospitals that have implemented self-administered medication programs resulted in increased patient medication knowledge, and increased adherence to prescribed medications, lower medication errors, and reduced 60-day readmission.5
- Medication errors are concerning because they can cause adverse effects, as well as lead to inappropriately managed medical conditions. Medication errors at discharge also lead to potentially avoidable hospital readmissions.
- The objective of the project is to reduce medication errors after discharge. Another objective is to reduce 30-day hospital readmission.
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