Table 2.
General Characteristics of Tools Addressing All 3 Domains (Medication Adherence, Medication Reconciliation, and Polypharmacy)a
| Tool | Primary Study (Year Published) | Primary Study Characteristics | Study Measurement Methods | Results | |||||
|---|---|---|---|---|---|---|---|---|---|
| Setting (Country) | Follow-up Duration(s) | Patient Population | Who Used Tool? | No. Subjects | Data Source | Outcome Variable | |||
| Multicomponent pharmacist intervention: medication review, patient interview, and postdischarge follow-up to address polypharmacy | Ravn-Nielsen et al (2018)6 | Postdischarge (Denmark) |
30 and 180 days | New acute admission adults with 5 or more medications and multiple medical conditions | Pharmacist | BI: 494 EI: 476 C: 498 |
National patient register | Occurrence of readmission, ED visits, and deaths within 30 days and 180 days | Significant effect on readmission within 30 days within the extended intervention group (HR, 0.62; 95% CI, 0.46-0.84) as well as within 180 days (HR, 0.75; 95% CI, 0.62-0.90) |
| Pharmacist counseling via telephone discharge script: comparison of patients’ self-reported medication list with discharge list as well as medication adherence | Schnipper et al (2006)7 | Postdischarge (United States) |
30 days | General medicine patients with multiple medical conditions who were being discharged home and could be contacted in 30 days | Pharmacist | I: 92 C: 84 |
Preventable ADEs measured with a screening questionnaire (developed by Bates and colleagues) | Presence of preventable ADEs in patients within 30 days after discharge | Significant difference in rate of preventable ADEs in control group (11%) vs intervention group (1%) (P = 0.01; unadjusted OR, 0.10; 95% CI, 0.013-0.86) |
Abbreviations: ADE, adverse drug event; BI, basic intervention; C, control; CI, confidence interval; ED, emergency department; EI, extended intervention; HR, hazard ratio; I, intervention; OR, odds ratio.
aBecause the 2 tools described were identified by the technical expert panel and not included in any systematic review, no evidence ratings were assigned.