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This study protocol outlines a multicenter randomized controlled trial (RCT) designed to assess the effectiveness of a pharmacist-led transitional care intervention for reducing adverse drug events (ADEs) and post-hospitalization utilization among older adults. The study will involve two large medical centers, focusing on evidence-based strategies, qualitative assessments, and cost-effectiveness analyses. The primary aim is to evaluate the impact of the intervention on hospital readmissions...
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Pharmacist Discharge Care (Pharm-DC) refers to a service provided by pharmacists to optimize medication management for patients upon discharge from healthcare facilities, ensuring a smooth transition to outpatient care and minimizing the risk of medication errors.
Health care providers, including pharmacists, who offer discharge care services and manage medication therapy for patients transitioning from hospital to home care are typically required to file the Pharm-DC.
To fill out the Pharm-DC, a pharmacist should gather patient medication history, document discharge medications, provide patient education, ensure follow-up prescriptions, and record all relevant information as required by the reporting guidelines.
The purpose of the Pharm-DC is to facilitate effective medication reconciliation, enhance patient safety, improve health outcomes, and reduce readmission rates by providing comprehensive medication management during the discharge process.
The Pharm-DC must report patient identification, medication list at discharge, any changes made to medications, counseling provided, and any follow-up actions that need to be taken by the patient or healthcare team.
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