Pellegrin et al determined the frequency of various categories of medication-related preventable hospital readmissions. These can help to identify targets for interventions to improve outcomes. The authors are from the University of Hawaii.
Frequency of preventable, medication readmissions: 24%
The classification is based on that of Cipolle et al.
More Common Reasons
Domain
Category
Percent
adherence
nonadherence by patient choice
23.8%
indication
untreated condition
13.3%
adherence
nonadherence due to complexity
11.4%
effectiveness
ineffective because dose too low
10.5%
safety
ADR due to dose too high
10.5%
Less Common Reasons
Domain
Category
Percent
adherence
nonadherence due to communication
7.6%
safety
ADR due to inadequate monitoring
6.7%
effectiveness
ineffective drug
5.7%
indication
not indicated
3.8%
adherence
nonadherence due to access
2.9%
adherence
nonadherence due to administration
1.9%
safety
ADR due to drug-drug interaction
1.9%
safety
ADR due to contraindication
0%
where:
• ADR = adverse drug reaction
To read more or access our algorithms and calculators, please log in or register.
