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Abstract

When patients leave the hospital to go home, it is a time when they are most likely to have complications with their medications. Researchers have suggested a telephone follow-up strategy to decrease hospital readmissions. However, the results of the intervention involving pharmacists in the management of patients' medications post-discharge remain inadequately investigated. The goals of this study were (1) to find out if a pharmacist phone follow-up intervention that helps patients manage their medicines is linked to a lower rate of readmissions within 30 days, and (2) to list the number and kinds of pharmacist interventions that happen during care transitions. This case-cohort research was carried out at two acute hospitals in the UK. Pharmacists conducted a telephone follow-up intervention with discharged patients to provide medication management assistance. The intervention group consisted of patients who got telephone follow-up calls from a pharmacist within 14 days after discharge. A portion of the medical patient population released in May 2013 constituted the comparison group. During a series of two telephone follow-ups, pharmacists found difficulties with medications after discharge and made treatments that were specific to each patient.

Two senior pharmacists used a risk assessment matrix tool to figure out how pharmacist actions affected things. A chi-square test was used to compare the overall 30-day readmission rates between the intervention group and the comparison group. Results: A total of 62 medical patients took part in the research from June 5 to June 25, 2013. Pharmacists made 192 interventions as a consequence of the pharmacist telephone follow-up intervention. The most common types of interventions were giving medication information (n=40), checking to see whether patients were following the rules (n=30), and advising on bad drug responses (n=27). The effects of the treatments were measured, and 49.3% of the risks that pharmacists found were linked to intermediate risk. The intervention group had a 30-day readmission rate of 11.3%, whereas the control group had a rate of 9.0% (p = 0.376). This difference was not statistically significant.

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Section
Review