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High Prevalence of Medication Discrepancies Between Home Health Referrals and Centers for Medicare and Medicaid Services Home Health Certification and Plan of Care and Their Potential to Affect Safety of Vulnerable Elderly Adults.
- Source :
-
Journal of the American Geriatrics Society [J Am Geriatr Soc] 2016 Nov; Vol. 64 (11), pp. e166-e170. Date of Electronic Publication: 2016 Sep 27. - Publication Year :
- 2016
-
Abstract
- Objectives: To describe the prevalence of discrepancies between medication lists that referring providers and home healthcare (HH) nurses create.<br />Design: The active medication list from the hospital at time of HH initiation was compared with the HH agency's plan of care medication list. An electronic algorithm was developed to compare the two lists for discrepancies.<br />Setting: Single large hospital and HH agency in the western United States.<br />Participants: Individuals referred for HH from the hospital in 2012 (N = 770, 96.3% male, median age 71).<br />Measurements: Prevalence was calculated for discrepancies, including medications missing from one list or the other and differences in dose, frequency, or route for medications contained on both lists.<br />Results: Participants had multiple medical problems (median 16 active problems) and were taking a median of 15 medications (range 1-93). Every participant had at least one discrepancy; 90.1% of HH lists were missing at least one medication that the referring provider had prescribed, 92.1% of HH lists contained medications not on the referring provider's list, 89.8% contained medication naming errors. 71.0% contained dosing discrepancies, and 76.3% contained frequency discrepancies.<br />Conclusion: Discrepancies between HH and referring provider lists are common. Future work is needed to address possible safety and care coordination implications of discrepancies in this highly complex population.<br /> (© 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society.)
- Subjects :
- Aged
Algorithms
Centers for Medicare and Medicaid Services, U.S. standards
Centers for Medicare and Medicaid Services, U.S. statistics & numerical data
Female
Humans
Male
Medicaid
Medicare
Needs Assessment
Quality Improvement
Safety Management methods
Safety Management standards
United States
Home Care Services organization & administration
Medication Errors prevention & control
Medication Errors statistics & numerical data
Medication Reconciliation methods
Medication Reconciliation standards
Medication Therapy Management organization & administration
Medication Therapy Management standards
Referral and Consultation standards
Referral and Consultation statistics & numerical data
Transitional Care organization & administration
Transitional Care standards
Subjects
Details
- Language :
- English
- ISSN :
- 1532-5415
- Volume :
- 64
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- Journal of the American Geriatrics Society
- Publication Type :
- Academic Journal
- Accession number :
- 27673753
- Full Text :
- https://doi.org/10.1111/jgs.14457