Using a structured reconciliation medication form improves medication transition from hospital to community care and primary care physicians’ adherence with medication adaptations and recommendations

Background Hospital admission and discharge are weakness points in the transition of care. Objective To lower the risk of errors and improve medication information transfer to primary care physician (PCP), we conducted an experimental study using a structured medication reconciliation form (SMRF) in...

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Bibliographic Details
Published in:European geriatric medicine 2019-02, Vol.10 (1), p.141-146
Main Authors: Dumur, Jean, Chassagne, Pierre, Gbaguidi, Xavier, Csajka, Chantal, Chassagne, Philippe, Lang, Pierre Olivier
Format: Article
Language:English
Subjects:
Brief Report
Geriatrics/Gerontology
Internal Medicine
Medicine
Medicine & Public Health
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Summary:Background Hospital admission and discharge are weakness points in the transition of care. Objective To lower the risk of errors and improve medication information transfer to primary care physician (PCP), we conducted an experimental study using a structured medication reconciliation form (SMRF) in an Acute Care for Elders unit. Results 1242 drugs of 173 patients were reconciliated at admission, optimized during the stay, and transmitted via the SMRF to the 143 corresponding PCPs. While the optimization led to 779 adaptations from admission to discharge, of which 39.0% were omissions, exposure to polypharmacy was reduced from 83.2 to 74.6% ( P 
ISSN:1878-7657
1878-7649
1878-7657
DOI:10.1007/s41999-018-0125-4