Blackwell Steven A, Riley Gerald F, Li Jun
J Med Pract Manage. 2016 Sep;32(2):93-97.
This article examines the distribution of drug-based quality assurance events (QAEs) post-discharge across five-day increments and identifies characteristics associated with post-discharge QAEs. Data were obtained through a cross-sectional study of Medicare beneficiaries age 65 and over enrolled in stand-alone Part D plans during calendar year 2010. Our findings suggest an even more compressed timeframe than previously identified in the literature for addressing medication issues among elderly beneficiaries. Specifically, medication reconciliation is needed within two to three days of discharge instead of within 14 days as the literature suggests. To decrease inadvertent readmissions, an immediate in-community medication reconciliation following hospital discharge is needed.
本文研究了出院后以五天为增量的基于药物的质量保证事件（QAE）的分布情况，并确定了与出院后QAE相关的特征。数据是通过对2010年日历年度参加独立D部分计划的65岁及以上医疗保险受益人的横断面研究获得的。我们的研究结果表明，在解决老年受益人用药问题方面，时间框架比之前文献中所确定的更为紧凑。具体而言，出院后两到三天内就需要进行用药核对，而不是像文献中建议的在14天内进行。为了减少意外再入院情况，出院后需要立即在社区进行用药核对。
