Identifying Post-Acute Medication Discrepancies in Community Dwelling Older Adults: A New Tool.

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Identifying Post-Acute Medication Discrepancies in Community Dwelling Older Adults: A New Tool.

Smith JD, Coleman EA, Min S-J.Am J Geriatr Pharmacother. 2004;2(2):141-148. http://www.caretransitions.org/documents/Identifying%20post%20acute%20-%20AJGP%20Abstract.pdf . Accessed August 7, 2014. Results: Across all 3 clinical disciplines, the mean interrater reliability (κ) for the 20 vignettes was 0.56 (15% low agreement, 80% good agreement, and 5% excellent agreement). Within disciplines, the κ statistic was as follows: nurses, 0.68; pharmacists, 0.50; and physicians, 0.64. Intrarater reliability ranged from 0.58 to 0.69. Conclusions: By capturing transition-related medication discrepancies, the MDT fills an important gap in national efforts to promote patient safety. MDT items are actionable at both the patient and system level, suggesting that this tool could be used to foster continuous quality improvement efforts.

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