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MEDICATION discrepancies AFTER DISCHARGE FROM A RURAL DISTRICT HOSPITAL

MEDICATION discrepancies AFTER DISCHARGE FROM A RURAL DISTRICT HOSPITAL. WHAT MEDICATIONS ARE OUR PATIENTS TAKING AT HOME?. THE SCENARIO. THE STUDY. HETI RURAL RESEARCH CAPACITY BUILDING PROGRAM

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MEDICATION discrepancies AFTER DISCHARGE FROM A RURAL DISTRICT HOSPITAL

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  1. MEDICATION discrepancies AFTER DISCHARGE FROM ARURAL DISTRICT HOSPITAL WHAT MEDICATIONS ARE OUR PATIENTS TAKING AT HOME?

  2. THE SCENARIO

  3. THE STUDY • HETI RURAL RESEARCH CAPACITY BUILDING PROGRAM • The aim of this study was to investigate the research question: Are patients discharged from an Australian rural hospital taking their medication as documented in their hospital discharge summary within one month of discharge?

  4. METHOD • This study used a cross sectional survey design which involved using semi-structured telephone interviews of patients discharged from the medical teams of a 162 bed general NSW based rural hospital. • The semi-structured interview questions were designed to ascertain whether there were any discrepancies between medications documented on discharge from hospital and those reported by the patient within a month of discharge.

  5. PARTICIPANTS • 96 initially enrolled • 71 (74%) finally interviewed: • 14 could not contact • 7 in another care facility • 4 withdrew consent on telephone contact • 66 finally analysed • 5 no completed discharge summary

  6. Telephone questionnaire • What medication are you taking now • Prompt sheet • Compared to medication documented on discharge summary

  7. Discrepancies documented & classified • Medical officer initiated • Patient led • Continuing previous regime • Medication not considered significant – script not filled • Medication too expensive • Medication caused side effects • Other as specified by patient

  8. Results – Number of discrepancies per participant

  9. Or to put it a different way….

  10. TYPE OF DISCREPANCIES

  11. Added medication

  12. Omitted medication

  13. REASON FOR DISCREPANCY

  14. CONCLUSIONS • In conclusion, this study has demonstrated that within a month after discharge from an Australian rural hospital the participants are not taking their medication as documented in their hospital discharge summary.

  15. RECOMMENDATION • This study has demonstrated a problem with the continuity of care in terms of medication discrepancy for patients discharged from our rural hospital. • Medication reconciliation at all points of the health care cycle • MMP • Improved communication of changes • eHealth???

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