This review will provide an exhaustive view of medication management models that could be effective for polymedicated , home-dwelling older adults and will allow us to analyze their impact on managing and preventing MRPs .
BACKGROUND Older adults with multiple chronic diseases commonly require complex medication regimes .
When combined with frailty , cognitive impairment , and changing pharmacological prescriptions , older adults ' polymedication regimes increase the risk of medication-related problems ( MRPs ) and hospitalization .
Effective , well-organized medication management could avoid MRPs and their clinical outcomes .
OBJECTIVE Identify medication management models and analyze their impact on managing and preventing MRPs for polymedicated , home-dwelling older adults .
Hospital Readmission Prevalence and Analysis of Those Potentially Avoidable in Southern Italy
Background One quality indicator of hospital care , which can be used to judge the process of care , is the prevalence of hospital readmission because it reflects the impact of hospital care on the patient ’s condition after discharge . The purpose s of the study were to measure the prevalence of hospital readmissions , to identify possible factors that influence such readmission and to measure the prevalence of readmissions potentially avoidable in Italy . Methods A sample of 2289 medical records of patients aged 18 and over admitted for medical or surgical illness at one 502-bed community non-teaching hospital were r and omly selected . Results A total of 2252 patients were included in the final analysis , equaling a response rate of 98.4 % . The overall hospital readmission prevalence within 30 days of discharge was 10.2 % . Multivariate logistic regression analysis revealed that the proportion of patients readmitted within 30 days of discharge significantly increased regardless of Charlson et al. comorbidity score , among unemployed or retired patients , and in patients in general surgery . A total of 43.7 % hospital readmissions were judged to be potentially avoidable . Multivariate logistic regression analysis showed that potentially avoidable readmissions were significantly higher in general surgery , in patients referred to hospital by an emergency department physician , and in those with a shortened time between discharge and readmission . Conclusion Additional research on intervention or bundle of interventions applicable to acute inpatient population s that aim to reduce potentially avoidable readmissions is strongly needed , and health care providers are urged to implement evidence -based programs for more cost-effective delivery of health care
This review will provide an exhaustive view of medication management models that could be effective for polymedicated , home-dwelling older adults and will allow us to analyze their impact on managing and preventing MRPs .
BACKGROUND Older adults with multiple chronic diseases commonly require complex medication regimes .
When combined with frailty , cognitive impairment , and changing pharmacological prescriptions , older adults ' polymedication regimes increase the risk of medication-related problems ( MRPs ) and hospitalization .
Effective , well-organized medication management could avoid MRPs and their clinical outcomes .
OBJECTIVE Identify medication management models and analyze their impact on managing and preventing MRPs for polymedicated , home-dwelling older adults .