دورية أكاديمية
أعرض في EDS

Evaluating the Connect with Pharmacy web-based intervention to reduce hospital readmission for older people.

التفاصيل البيبلوغرافية
العنوان: Evaluating the Connect with Pharmacy web-based intervention to reduce hospital readmission for older people.
المؤلفون: Sabir FRN; Medicines Management and Pharmacy Services, St James University Hospital, Leeds Teaching Hospitals NHS Trust, Beckett Street, Leeds, West Yorkshire, LS9 7TF, UK.; School of Healthcare, University of Leeds, Leeds, UK., Tomlinson J; Medicines Management and Pharmacy Services, St James University Hospital, Leeds Teaching Hospitals NHS Trust, Beckett Street, Leeds, West Yorkshire, LS9 7TF, UK. justine.tomlinson@nhs.net.; School of Pharmacy and Medical Sciences, University of Bradford, Bradford, UK. justine.tomlinson@nhs.net., Strickland-Hodge B; School of Healthcare, University of Leeds, Leeds, UK., Smith H; Medicines Management and Pharmacy Services, St James University Hospital, Leeds Teaching Hospitals NHS Trust, Beckett Street, Leeds, West Yorkshire, LS9 7TF, UK.
المصدر: International journal of clinical pharmacy [Int J Clin Pharm] 2019 Oct; Vol. 41 (5), pp. 1239-1246. Date of Electronic Publication: 2019 Aug 07.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: Netherlands NLM ID: 101554912 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2210-7711 (Electronic) NLM ISO Abbreviation: Int J Clin Pharm Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Dordrecht : Springer
مواضيع طبية MeSH: Internet-Based Intervention* , Pharmacies*, Patient Readmission/*statistics & numerical data, Aged ; Aged, 80 and over ; Electronic Health Records ; Female ; Humans ; Length of Stay ; Male ; Patient Transfer ; Pharmacy Service, Hospital ; Polypharmacy ; Retrospective Studies ; United Kingdom
مستخلص: Background The patient transition from a hospital to a post-discharge healthcare setting has potential to disrupt continuity of medication management and increase the risk of harm. "Connect with Pharmacy" is a new electronic web-based transfer of care initiative employed by Leeds Teaching Hospitals NHS Trust. This allows the sharing of discharge information between the hospital and a patient's chosen community pharmacy. Objective We investigated whether the timely sharing of discharge information with community pharmacies via "Connect with Pharmacy" reduced hospital readmission rates in older patients. Method To evaluate intervention efficacy, hospital admission data was retrospectively collected. For primary analysis, admission rates were tracked 6-months prior (baseline) and 6-months post-intervention. Secondary measures included effect on total length of stay if readmitted, emergency department attendance and duration, and impact of polypharmacy. Main outcome measure The rate of non-elective hospital readmissions, 6-months post-intervention. Results In the sample (n = 627 patients; Mean age = 81 years), emergency readmission rates following the intervention (M = 1.1, 95% CI [0.98, 1.22]) reduced by 16.16% relative to baseline (M = 1.31, 95% CI [1.21, 1.42]) (W = 54,725; p < 0.001). There was no reduction in total length of stay. Subsidiary analysis revealed a post-intervention reduction in number of days spent in hospital lasting more than three days (χ 2  = 13.37, df = 1, p < 0 .001). There were no statistically reliable differences in the remaining secondary measures. Conclusion The results showed a reduction in readmissions and potential post-intervention length of stay, indicating there may be further benefits for our older patients' experiences and hospital flow.
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فهرسة مساهمة: Keywords: Care transitions; Community pharmacy; Elderly; Hospital readmissions; Older people; United kingdom
تواريخ الأحداث: Date Created: 20190809 Date Completed: 20200311 Latest Revision: 20200311
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC6800861
DOI: 10.1007/s11096-019-00887-3
PMID: 31392581
قاعدة البيانات: MEDLINE
الوصف
تدمد:2210-7711
DOI:10.1007/s11096-019-00887-3