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Patricia Ryan



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  • OS30 - What's New in Medication Management (ID 51)

    • Event: e-Health 2019 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical and Executive
    • Presentations: 1
    • Coordinates: 5/29/2019, 10:30 AM - 12:00 PM, Room 200 C
    • OS30.02 - Enhancing the Electronic Discharge Process for Medication Reconciliation (ID 324)

      Patricia Ryan, Health QR Inc.; Halifax/CA

      • Abstract
      • Slides

      Purpose/Objectives:
      Many complex patients experience medication-related adverse events at the time of discharge from hospital. Previous work at Queen Elizabeth Hospital (QEH) identified care gaps that potentially impact adverse events (ref). Specifically, discharge reports containing important medication information were not communicated to community care providers complicating the continuum of patient care. The primary objective of this study is to determine the feasibility of electronically providing patient discharge reports directly to community pharmacy for the purposes of medication reconciliation. The secondary objective is to determine the impact of the improved communication process on emergency department (ED) visits and readmission rates within the first 8 weeks of hospital discharge in a small pilot of patients compared to standard care


      Methodology/Approach:
      Eligible patients (n=100) identified as complex (taking >5 medications) will be consented just prior to discharge and will provide their community pharmacy contact information from a list of participating pharmacies. Participating community pharmacies will be randomized into two groups receiving either electronically transmitted discharge reports through commercially available software (Access Point Consultant, PASI) or paper copies only (standard care). Initial follow-up with community pharmacists will occur within 4 days of patient discharge to assess numbers of received discharged reports and medication issues (e.g. clarifications, corrections etc.) associated with them. Study participants will be followed to determine if they returned to the hospital at weeks 1, 4, and 8 post-discharge. Pharmacies receiving commercial software will also receive a pharmacy-connected mobile application (Your Health Report, Health QR) to offer their patients to view their complete medication profile and manage their medications. Patients will be asked to provide initial feedback on managing their medications through this platform.


      Finding/Results:
      Previous work identified only 17% of all discharge reports were received at the community pharmacy. Of the reports that were received, pharmacists reported that some information was missing or unclear prompting follow-up discussions with the hospital. The current follow-up study has gained approval from Health PEI and is currently undergoing research ethics review.


      Conclusion/Implications/Recommendations:
      This study will evaluate the feasibility of electronically providing discharge reports from a tertiary care centre, with electronic processes already in place, to community pharmacy. The impact of improved electronic communication between community pharmacy, hospital, and patients on subsequent care needs will also be assessed. Final recommendations will include considerations for fully integrated technology requirements for sustained communication between hospital and community pharmacy. References MacDonald K, Cusack M, Qiong S, Lang R, Rinco K. (2017) Care gaps in the electronic discharge medication reconciliation process at an acute care facility. Can J Hosp Pharm. 70(6):430-4.


      140 Character Summary:
      Can pharmacy-integrated technologies improve the communication of medication reconciliation directives at discharge between hospital and community pharmacy?

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