title: Challenges in posthospital care: nurses as coaches for medication management.
abstract: The purpose of this study was to evaluate a transitional care intervention posthospital discharge for chronically ill medical patients managing complex medication regimens. This descriptive pilot study tested 2 interventions: telephone follow-up and a home visit. Registered nurses delivered the interventions with consulting pharmacist support. Findings included 62% more medication discrepancies discovered during home visit than detected by telephone interview. This brief intervention identified significant knowledge gaps in self-management of discharge medications in the inner city population.
authors.affiliation: The Johns Hopkins Hospital, Johns Hopkins University School of Nursing, Baltimore, MD, USA. lcosta5@jhmi.edu
authors.forename: Linda L
authors.initials: LL
authors.lastname: Costa
authors.forename: Stephanie S
authors.initials: SS
authors.lastname: Poe
authors.forename: Mei Ching
authors.initials: MC
authors.lastname: Lee
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D008508:Medication Errors / Q000517:prevention & control*; D008875:Middle Aged; D009723:Nurse-Patient Relations; D010865:Pilot Projects; D012646:Self Administration; D012959:Socioeconomic Factors; D055815:Young Adult