Outcome | Description |
---|---|
Primary outcome | |
Unintentional Medication Discrepancies in admission and discharge orders with potential for patient harm | Number of discrepancies per patient with potential for harm |
Process measures | |
Accuracy of preadmission medication history | Proportion with accurate medication histories; number of history errors per patient with potential for harm |
Absence of discharge reconciliation errors | Proportion with error-free discharge medication orders; number of discharge reconciliation errors per patient |
Preadmission medication history documented within 24 hours of admission | Proportion of cases with on-time preadmission medication history documentation |
Other outcome measures | |
Emergency Department visit or readmission to index hospital within 30 days of discharge | Proportion of patients with ED visit or readmission |
Patient Satisfaction on HCAHPS1 survey | Global satisfaction score; medication specific score; proportion who responded “usually or always” to medication questions |