Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management intervention.
Pellegrin K, Lozano A, Miyamura J, et al. Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management intervention. BMJ Qual Saf. 2019;28(2):103-110. doi:10.1136/bmjqs-2018-008418.
Older adults frequently encounter medication-related harm, which may result in preventable hospitalizations. In six Hawaiian hospitals, hospital pharmacists identified older patients at risk of medication problems and assigned them to a community pharmacist who coordinated their medications across prescribers for 1 year after discharge. This post-hoc analysis of the intervention found that most medication-related harm occurred in the community (70%) rather than the hospital and that the intervention successfully reduced community-acquired harm.