Adverse drug events and medication problems in "Hospital at Home" patients

被引:7
作者
Mann, Elizabeth [1 ]
Zepeda, Orlando [2 ]
Soones, Tacara [3 ]
Federman, Alex [4 ]
Leff, Bruce [5 ]
Siu, Albert [6 ]
Boockvar, Kenneth [6 ,7 ]
机构
[1] Gallup Indian Med Ctr, Dept Geriatr & Palliat Care, 517 East Nizhoni Ave, Gallup, NM 87301 USA
[2] Kaiser Permanente, Adult & Family Med, San Francisco, CA USA
[3] Univ Texas MD Anderson Canc Ctr, Dept Gen Internal Med, Houston, TX 77030 USA
[4] Mt Sinai Sch Med, Div Gen Internal Med, New York, NY USA
[5] Johns Hopkins Bayview Ctr Aging & Hlth, Baltimore, MD USA
[6] Mt Sinai Sch Med, Brookdale Dept Geriatr, New York, NY USA
[7] James J Peters VA Med Ctr, Geriatr Res Educ & Clin Ctr, Bronx, NY USA
关键词
Drugs: Physiology and effects; Clinical practice: Home health care; Community and home care: Quality of care; evaluation of services; Acute care: Quality of care;
D O I
10.1080/01621424.2018.1454372
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Hospital at Home(HaH) programs provide an alternative to traditional hospitalization. However, the incidence of adverse drug events in these programs is unknown. This study describes adverse drug events and potential adverse drug events in a new HaH program. We examined the charts of the first 50 patients admitted. We found 45 potential adverse drug events and 14 adverse drug events from admission to 30 days after HaH discharge. None of the adverse drug events were severe. Some events, like problems with medication administration, may be unique to the hospital at home setting. Monitoring for adverse drug events is feasible and important for hospital at home programs.
引用
收藏
页码:177 / 186
页数:10
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