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Pharmacists Add Measurable Value During Hospital Discharge

May 13, 2022 • 2:33 am CDT
by Kevin Hartung
(Precision Vaccinations)

Although prescribers face numerous patient-centered challenges during transitions of care (TOC) at hospitals, pharmacists have proven to add significant value during the discharge process.

An Original Investigation published by the peer-review journal The JAMA Network on May 10, 2022, found patients in the post-intervention group were more than five times more likely to have an optimal antimicrobial prescription (time-adjusted generalized estimating equation odds ratio, 5.63; 95% confidence interval, 3.69 to 8.60).

Moreover, of the 800 patients prescribed antimicrobials at discharge in southeast Michigan, fewer severe antimicrobial-related adverse events were identified in the post-intervention period (3.2%) compared with the pre-intervention period (9%).

Furthermore, after controlling for service team and study month, patients in the postintervention period had a lower risk of expensive 30-day readmission and infection-related readmission.

And the most common diagnoses were pneumonia (33%), upper respiratory tract infection and/or acute exacerbation of chronic obstructive pulmonary disease (26.8%), and urinary tract infection (25.4%). 

These researchers stated 'Pharmacists are crucial team members in leading the supportive antimicrobial reviews, multidisciplinary discussions, addressing medication access barriers, and facilitating antimicrobial orders into discharge queues for cosigning by the prescriber.'

'The synergistic relationships between prescriber and pharmacist facilitates better TOC care and services.'

Note(s): These findings were driven by hospital-based TOC interventions that included but were not limited to medication reconciliation, identification of high-risk patients, and promotion of trust in the hospital. And this study was supported by contract 75D30118C02928 from the CDC, and no significant industry conflicts were presented.

This study was edited for clarity and manually curated for mobile readership.

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