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CCBY-NCSA_V3.0_US, Open Access
Thesis
The Relationship of Medication Regimen Complexity and Health Care Utilization
Washington State University
Master of Nursing (MN), Washington State University
05/2011
Handle:
https://hdl.handle.net/2376/3103
Abstract
Objectives: To determine whether medication regimen complexity (MRC) could predict likelihood for occurrence of adverse drug events (ADE) and 30-day readmits or emergency department visits in patients transitioning from hospital to home care. Methods: Hospital discharge medication lists and medication lists developed in the patients' homes were analyzed for 213 participants. MRC was quantified with the Medication Regimen Complexity Index© (MRCI).1 The potential for ADEs was estimated from the criteria established by Weingart et aI., based on medication discrepancies detected between the discharge and patient reported home medication lists. 2 Acute care utilization in the thirty days following the index hospitalization was tracked. Logistic regression analyses were used to approximate the odds for an ADE and post-discharge acute care utilization from MRCI scores. Results: Home medication lists were less complex than hospital discharge medication lists. Higher MRCI scores increased the odds for a potential ADE and for 30-day hospital readmission, but did not significantly elevate odds for emergency department use. Conclusions: MRC is an independent variable that can be used to assess patients' potential for ADEs and hospital readmission. MRC may be useful in identifying patients that would benefit from additional transitional care interventions. Results indicate that simplifying medication regimens may favorably impact post-discharge outcomes.
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Details
- Title
- The Relationship of Medication Regimen Complexity and Health Care Utilization
- Creators
- Hilary Schoonover
- Contributors
- Cindy Corbett (Advisor)
- Awarding Institution
- Washington State University
- Academic Unit
- Research Projects, College of Nursing
- Theses and Dissertations
- Master of Nursing (MN), Washington State University
- Publisher
- Washington State University; Spokane, Washington
- Identifiers
- 99900590528401842
- Copyright
- http://creativecommons.org/licenses/by-nc-sa/3.0/us; Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States (CC BY-NC-SA 3.0 US)
- Language
- English
- Resource Type
- Thesis