Description

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


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