• J Am Pharm Assoc (2003) · Jan 2019

    Enhanced communication between inpatient and community pharmacists to optimize medication management during transitions of care.

    • Lisa M McCarthy, Sonja Li, Olavo Fernandes, Karen Cameron, Philip Lui, Gary Wong, Pauline Pariser, John Farrell, Miles J Luke, and GuilcherSara J TSJT.
    • J Am Pharm Assoc (2003). 2019 Jan 1; 59 (1): 79-86.e1.

    ObjectivesTo describe the Pharmacy Communication Partnership (PROMPT) program's approach to improving medication management for patients during transitions from hospital to the community.SettingTwo general internal medicine units within a multisite academic hospital in Canada.Practice InnovationDesigned by an interprofessional working group, PROMPT uses evidence-informed approaches to facilitate communication between pharmacists in different settings: faxing of the discharge prescription and medical discharge summary to a patient's community pharmacy, followed by a telephone call to the community pharmacist.EvaluationA multimethod cross-sectional study used telephone surveys and retrospective chart reviews to describe: 1) the characteristics of patients that hospital pharmacists thought would benefit from PROMPT and the community pharmacies that served them; 2) the number and nature of communication attempts made by community and hospital pharmacists; and 3) community pharmacists' views about PROMPT's potential impact on continuity of care and potential program enhancements.ResultsA convenience sample of 100 patients (median age 77 years, interquartile range 66 to 83) who received care from 86 pharmacies were used to evaluate the program. The majority of community pharmacists participating in the surveys considered the intervention to be helpful. Of the 53.7% (n = 44/82) community pharmacists who received discharge summaries, 93.2% (n = 41/44) found the summaries to be useful. Themes arising from community pharmacists' comments were categorized into 3 topics: 1) the benefits of PROMPT; 2) topics of discussion and clarification during telephone calls with hospital pharmacists; and 3) future program improvements.ConclusionCommunity pharmacists described PROMPT as a time-efficient and helpful bridge linking community pharmacy to hospital inpatient care. Opportunities for future research include determining the characteristics of patients who may benefit most from PROMPT, determining the optimal components of discharge information needed by community pharmacists to enhance medication management, and evaluating whether follow-up telephone calls from the hospital to community pharmacists are necessary for all patients.Copyright © 2019. Published by Elsevier Inc.

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