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Post–Hospital Medication Discrepancies at Home: Risk Factor for 90-Day Return to Emergency Department

Costa, Linda, L., PhD, RN, NEA-BC; Byon, Ha, Do, PhD, MPH, MS, RN

doi: 10.1097/NCQ.0000000000000278

The purpose of this study was to evaluate the occurrence of medication discrepancies during transitional care home visits and the association with emergency department (ED) visits. Using secondary data analysis, the relationships between in-home medication discrepancies and 30- and 90-day ED utilization were examined. For every in-home medication discrepancy, the odds of being admitted to the ED within 90 days increased by 31%. This brief intervention could add a valuable component to post–hospital transition management.

University of Maryland School of Nursing, Baltimore (Dr Costa); University of Virginia School of Nursing, Charlottesville (Dr Byon).

Correspondence: Linda L. Costa, PhD, RN, NEA-BC, University of Maryland School of Nursing, 655 West Lombard St, Room 465B, Baltimore, MD 21201 (

These secondary data were derived from a research study supported by a grant from the Dorothy Evans Lyne Fund.

The authors declare no conflicts of interest.

Accepted for publication: June 1, 2017

Published ahead of print: August 24, 2017

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