The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.
In this study, complex medication regimens were associated with much higher rates of post-discharge adverse events and 30-day readmissions. Discrepancies between hospital discharge and home medication lists were found in 90% of cases.
Salvatierra G, Bindler RC, Corbett CF, et al. Crit Care Med. 2014;42:2001-6.
This before-and-after analysis revealed a decline in inpatient mortality following implementation of rapid response teams, but due to the overall trend of decreasing hospital mortality the authors could not definitively attribute this result to the rapid response team. This work demonstrates the ongoing challenge of assessing the effect of rapid response systems, which remain controversial.
Willson MN, Greer CL, Weeks DL. Ann Pharmacother. 2014;48:26-32.
This case control study found that patients readmitted within 30 days of discharge had significantly more complex medication regimens than patients who were discharged with no readmission. Targeting medication reconciliation efforts at these patients may help avoid adverse events after discharge.
Setter SM, Corbett CF, Neumiller JJ, et al. Am J Health Syst Pharm. 2009;66:2027-31.
A medication reconciliation intervention conducted by a pharmacist and nurse significantly reduced the number of medication errors at hospital discharge, but did not affect readmission rates or the need for return physician visits.