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Erschienen in: International Journal of Clinical Pharmacy 5/2013

01.10.2013 | Research Article

Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements

verfasst von: Rachel Urban, Evgenia Paloumpi, Nooresameen Rana, Julie Morgan

Erschienen in: International Journal of Clinical Pharmacy | Ausgabe 5/2013

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Abstract

Background Communication between hospital and community pharmacists when a patient is discharged from hospital can improve the accuracy of medication reconciliation, thus preventing unintentional changes and ensuring continuity of supply. It allows problems to be resolved before a patient requires a further supply of medication post-discharge. Despite evidence demonstrating the benefits of sharing information, community pharmacists’ willingness to receive information and advances in information technology (particularly electronic discharge medication summaries), there is little published evidence to indicate whether communication has improved over the last 15 years. This study aimed to explore community pharmacists’ experience of information sharing by and with their local hospital and GP practices. Objectives (1) To establish the extent to which community pharmacies currently receive discharge medication information, and for which patients.(2)To determine community pharmacy staff opinion on where and how current communication practice could be improved. Setting Community Pharmacies in one Primary Care Organisation (PCO) in England. Method Semi-structured interviews conducted during visits to community pharmacies. Main outcome measure Reported receipt of discharge medication information from hospitals and general practices. Results A total of 14 community pharmacies participated. Current provision of information to community pharmacies from hospitals regarding medication changes at discharge was reported to be inconsistent and lacking in quality. Where information was received it was predominantly for patients who receive their medicines in monitored dosage systems (MDS) rather than for the general population of patients. Some examples of “notable practice” were reported. Conclusion Community pharmacists received post-discharge information rarely and mainly for patients where the hospital perceived the patient’s medication issues as “complex”. Practice was inconsistent overall. These findings suggest that the potential of community pharmacists to improve patient safety after discharge from hospital is not being utilised.
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Fußnoten
1
A Primary Care Trust (PCT) is a type of UK NHS Trust which commissions primary care, secondary care and community services for patients in their area.
 
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Metadaten
Titel
Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements
verfasst von
Rachel Urban
Evgenia Paloumpi
Nooresameen Rana
Julie Morgan
Publikationsdatum
01.10.2013
Verlag
Springer Netherlands
Erschienen in
International Journal of Clinical Pharmacy / Ausgabe 5/2013
Print ISSN: 2210-7703
Elektronische ISSN: 2210-7711
DOI
https://doi.org/10.1007/s11096-013-9813-9

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