Medication Changes on Discharge from Acute Care to Hospice (TH371A)
An abstract of a study by Furuno et al quantifying the frequency and documentation of medication orders for patients discharged from acute care to hospice care is presented. Among 1,499 discharges to hospice, the mean (standard (deviation) number of medications patients were receiving was 7.2 (4.8)...
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Published in | Journal of pain and symptom management Vol. 53; no. 2; pp. 347 - 348 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
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Elsevier Inc
01.02.2017
Elsevier Limited |
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Abstract | An abstract of a study by Furuno et al quantifying the frequency and documentation of medication orders for patients discharged from acute care to hospice care is presented. Among 1,499 discharges to hospice, the mean (standard (deviation) number of medications patients were receiving was 7.2 (4.8) and this number increased by 0.34 mediations/year over the study period, P < 0.001. Review of 96 discharge summaries (4 were excluded because of missing data) identified 1,466 medication decisions (mean=15.3 decisions per discharge summary) of which 441 (30%) were to continue medications without changes, 103 (7%) were to continue medications but with changes, 458 (31%) were to start new medications, and 464 (32%) were to discontinue existing medications. Among medications that were initiated or changed, morphine was the most frequent new medication (7%) and aspirin was the most frequently discontinued medication (5%). Only 38% of medication changes had a documented rationale for the change. |
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AbstractList | An abstract of a study by Furuno et al quantifying the frequency and documentation of medication orders for patients discharged from acute care to hospice care is presented. Among 1,499 discharges to hospice, the mean (standard (deviation) number of medications patients were receiving was 7.2 (4.8) and this number increased by 0.34 mediations/year over the study period, P < 0.001. Review of 96 discharge summaries (4 were excluded because of missing data) identified 1,466 medication decisions (mean=15.3 decisions per discharge summary) of which 441 (30%) were to continue medications without changes, 103 (7%) were to continue medications but with changes, 458 (31%) were to start new medications, and 464 (32%) were to discontinue existing medications. Among medications that were initiated or changed, morphine was the most frequent new medication (7%) and aspirin was the most frequently discontinued medication (5%). Only 38% of medication changes had a documented rationale for the change. |
Author | Furuno, Jon, PhD Noble, Brie, BS Tjia, Jennifer, MD MSCE Fromme, Erik, MD MSCRFAAHPM Candrian, Carey, PhD Izumi, Seiko, PhD RN Kadoyama, Kirsten, BA McPherson, Mary Lynn, PharmD BCPS CPE |
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SubjectTerms | Acute services Anesthesia & Perioperative Care Aspirin Changes Deviation Discharge Discharge summaries Discontinued Drug therapy Drugs Hospice care Missing data Morphine Pain Medicine |
Title | Medication Changes on Discharge from Acute Care to Hospice (TH371A) |
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