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International Journal of Clinical Pharmacy

, Volume 35, Issue 5, pp 813–820 | Cite as

Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements

  • Rachel UrbanEmail author
  • Evgenia Paloumpi
  • Nooresameen Rana
  • Julie Morgan
Research Article

Abstract

Background Communication between hospital and community pharmacists when a patient is discharged from hospital can improve the accuracy of medication reconciliation, thus preventing unintentional changes and ensuring continuity of supply. It allows problems to be resolved before a patient requires a further supply of medication post-discharge. Despite evidence demonstrating the benefits of sharing information, community pharmacists’ willingness to receive information and advances in information technology (particularly electronic discharge medication summaries), there is little published evidence to indicate whether communication has improved over the last 15 years. This study aimed to explore community pharmacists’ experience of information sharing by and with their local hospital and GP practices. Objectives (1) To establish the extent to which community pharmacies currently receive discharge medication information, and for which patients.(2)To determine community pharmacy staff opinion on where and how current communication practice could be improved. Setting Community Pharmacies in one Primary Care Organisation (PCO) in England. Method Semi-structured interviews conducted during visits to community pharmacies. Main outcome measure Reported receipt of discharge medication information from hospitals and general practices. Results A total of 14 community pharmacies participated. Current provision of information to community pharmacies from hospitals regarding medication changes at discharge was reported to be inconsistent and lacking in quality. Where information was received it was predominantly for patients who receive their medicines in monitored dosage systems (MDS) rather than for the general population of patients. Some examples of “notable practice” were reported. Conclusion Community pharmacists received post-discharge information rarely and mainly for patients where the hospital perceived the patient’s medication issues as “complex”. Practice was inconsistent overall. These findings suggest that the potential of community pharmacists to improve patient safety after discharge from hospital is not being utilised.

Keywords

Communication Community pharmacy Hospital discharge Medicines reconciliation Qualitative research Seamless care United Kingdom 

Notes

Acknowledgments

We would like to thank Abdulla Hamed and Zafir Patel for contributing to the data collection, John Tucker and Peter Marshall for reviewing the interview schedule and all the pharmacists and staff who agreed to participate in the study. Also a special thanks to Alison Blenkinsopp who reviewed and advised on the content of the paper.

Funding

No external funding was received for this study.

Conflicts of interest

None.

Supplementary material

11096_2013_9813_MOESM1_ESM.docx (26 kb)
Supplementary material 1 (DOCX 26 kb)

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Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  • Rachel Urban
    • 1
    • 2
    • 3
    Email author
  • Evgenia Paloumpi
    • 1
  • Nooresameen Rana
    • 1
  • Julie Morgan
    • 1
  1. 1.School of PharmacyUniversity of BradfordBradfordUK
  2. 2.Bradford Institute for Health ResearchBradford Teaching Hospitals NHS Foundation TrustBradfordUK
  3. 3.Pharmacy DepartmentBradford Teaching Hospitals NHS Foundation TrustBradfordUK

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