Inter-facility communication barriers delay resolving medication discrepancies during transitions of care

被引：16

作者：

Patterson, Mark E. ^{[1
]}

Foust, Janice B. ^{[2
]}

Bollinger, Sandra ^{[3
]}

Coleman, Chandler ^{[4
]}

Nguyen, Diepngan ^{[4
]}

机构：

[1] Univ Missouri, Sch Pharm, Div Pharm Practice & Adm, 4245 Hlth Sci Bldg,2464 Charlotte St, Kansas City, MO 64108 USA

[2] Univ Massachusetts, Dept Nursing, Boston, MA 02125 USA

[3] Hlth Prior Inc, Cape Girardeau, MO USA

[4] Univ Missouri, Sch Pharm, Kansas City, MO 64110 USA

来源：

RESEARCH IN SOCIAL & ADMINISTRATIVE PHARMACY | 2019年 / 15卷 / 04期

关键词：

Medication reconciliation; Communication; Long-term care; Transitions of care; Qualitative research; RECONCILIATION; PATIENT; EVENTS;

D O I：

10.1016/j.sapharm.2018.05.124

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: Medication discrepancies occurring during transitions of care between hospitals and nursing homes increase the risk of adverse events for patients. Resolving mismatched information between hospitals and nursing homes adds additional burden to nursing home staff. Objective: The aim of this study was to characterize challenges facing nursing home staff in receiving and resolving medication discrepancies during resident intake. Methods: This study used one focus group comprised of five nurses, one pharmacist and two administrators from four nursing homes to explore the staffs' experiences resolving medication discrepancies at resident intake. Thematic analysis was used to determine primary themes and categories arising from focus group transcripts. Results: Three common challenges included 1) Nursing homes relying upon external providers for accurate information that is frequently delayed; 2) Prescribing data shared between hospitals and nursing facilities on incompatible formats with inconsistent content; 3) Following a specific communication workflow between facilities to resolve errors as efficiently as possible. Conclusions: Improving access to formularies and medical histories for providers across the continuum of care and improving information sharing across transitions would improve communication, decrease discrepancies and increase patient safety during post-acute care transitions.

引用

页码：366 / 369

页数：4

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