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Abstract

A patient's transfer from a hospital to a post-discharge healthcare facility may interfere with the continuity of their pharmaceutical regimen and raise their risk of injury. Leeds Teaching Hospitals NHS Trust has implemented a new computerized web-based transfer of care program called "Connect with Pharmacy." This makes it possible for the hospital and the patient's preferred community pharmacy to exchange discharge information. We looked at whether prompt discharge information sharing with neighborhood pharmacies via "Connect with Pharmacy" decreased the number of older patients who were readmitted to hospitals. Data on hospital admissions was gathered retrospectively in order to assess the effectiveness of the intervention. Admission rates were monitored six months before (baseline) and six months after the intervention for primary analysis. Secondary measures included the effects of polypharmacy, the amount of time spent in the emergency room, and the effect of readmission on the overall length of stay. the number of readmissions to non-elective hospitals six months after the intervention. Findings Emergency readmission rates after the intervention (M = 1.1, 95% CI [0.98, 1.22]) decreased by 16.16% compared to baseline (M = 1.31, 95% CI [1.21, 1.42]) in the sample (n = 627 patients; mean age = 81 years) (W = 54,725; p < 0.001). The overall time of stay was not shortened. The frequency of hospital stays longer than three days decreased after the intervention, according to subsidiary analysis (χ2 = 13.37, df = 1, p < 0.001). The other secondary measures showed no statistically significant changes. In conclusion There may be further advantages for the experiences of our elderly patients and hospital flow, since the data demonstrated a decrease in readmissions and possible post-intervention length of stay.

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Section
Review