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European Geriatric Medicine

, Volume 10, Issue 1, pp 141–146 | Cite as

Using a structured reconciliation medication form improves medication transition from hospital to community care and primary care physicians’ adherence with medication adaptations and recommendations

  • Jean Dumur
  • Pierre Chassagne
  • Xavier Gbaguidi
  • Chantal Csajka
  • Philippe Chassagne
  • Pierre Olivier LangEmail author
Brief Report

Abstract

Background

Hospital admission and discharge are weakness points in the transition of care.

Objective

To lower the risk of errors and improve medication information transfer to primary care physician (PCP), we conducted an experimental study using a structured medication reconciliation form (SMRF) in an Acute Care for Elders unit.

Results

1242 drugs of 173 patients were reconciliated at admission, optimized during the stay, and transmitted via the SMRF to the 143 corresponding PCPs. While the optimization led to 779 adaptations from admission to discharge, of which 39.0% were omissions, exposure to polypharmacy was reduced from 83.2 to 74.6% (P < 0.05). One-month post-discharge, with an answer rate of 62.2% among PCPs, the adherence to recommendations was high (85.0%) and the exposure to polypharmacy was further decreased (67.7%; P < 0.05).

Conclusion

These results provide elements to consider SMRF as an example of good practice for which the impact should be analyzed at larger scale.

Keywords

Medication reconciliation form Hospital Transition of care Aged patient 

Notes

Acknowledgements

Sponsor’s role: there was no sponsor for this manuscript.

Author contributions

CP, CPh and GX have designed the study. JD, CP, CPh, CC, GX, and POL have analyzed the data. JD, CP, GX, CC, CPh, and POL have written the manuscript.

Compliance with ethical standards

Conflict of interest

None of the authors has any conflict of interest to declare.

Ethical approval

The local ethic committee approved this experimental protocol. All procedures performed in studies involving human participants were in accordance with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

An informed consent was obtained from all particpants (eligible patients and PCPs).

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Copyright information

© European Geriatric Medicine Society 2018

Authors and Affiliations

  • Jean Dumur
    • 1
  • Pierre Chassagne
    • 2
  • Xavier Gbaguidi
    • 3
  • Chantal Csajka
    • 4
    • 5
  • Philippe Chassagne
    • 2
  • Pierre Olivier Lang
    • 6
    • 7
    Email author
  1. 1.Geriatric and Rehabilitation Geriatric DivisionUniversity Hospital of Lausanne (CHUV)LausanneSwitzerland
  2. 2.Geriatric DivisionUniversity Hospital of RouenRouenFrance
  3. 3.Geriatric DivisionHospital Centre of DieppeDieppeFrance
  4. 4.School of Pharmaceutical SciencesUniversity of Geneva, University of LausanneGenevaSwitzerland
  5. 5.Service of PharmacyUniversity Hospital of Lausanne (CHUV)LausanneSwitzerland
  6. 6.Clinic of MontchoisiLausanneSwitzerland
  7. 7.Health and Wellbeing Academy, Anglia Ruskin UniversityCambridgeUK

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