Start Date

5-15-2025 9:30 AM

End Date

5-15-2025 11:30 AM

Description

Background

  • Transitions of care are a time of vulnerability for patients.
  • Nearly 20% of patients experience an adverse event within 3 weeks of hospital discharge, with adverse drug events being the most common.
  • Discharge (DC) summaries serve to provide safe transition of care by describing hospital course and medication changes for review by outpatient providers.
  • At TJUH, DC summaries are completed by internal medicine (IM) senior residents, but there is variability in quality of hospital course and thoroughness of medication reconciliation.
  • Inaccurate admission medication reconciliation may lead to inaccurate reporting of discharge medication lists, causing confusion for both patients and providers and increasing the risk of adverse events.

Keywords

discharge, summary, DC, reconciliation, medication

Comments

Presented at the 2025 Jefferson Health Equity and Quality Improvement (HEQI) Summit.

Share

COinS
 
May 15th, 9:30 AM May 15th, 11:30 AM

Improving the Quality of Internal Medicine Discharge Summaries Via Accurate Admission Medication Reconciliation

Background

  • Transitions of care are a time of vulnerability for patients.
  • Nearly 20% of patients experience an adverse event within 3 weeks of hospital discharge, with adverse drug events being the most common.
  • Discharge (DC) summaries serve to provide safe transition of care by describing hospital course and medication changes for review by outpatient providers.
  • At TJUH, DC summaries are completed by internal medicine (IM) senior residents, but there is variability in quality of hospital course and thoroughness of medication reconciliation.
  • Inaccurate admission medication reconciliation may lead to inaccurate reporting of discharge medication lists, causing confusion for both patients and providers and increasing the risk of adverse events.