???Medication use is a complex and confusing process for older adults making the transition from hospital to home. We are aiming to simplify, streamline, and standardize this process to ultimately improve patient safety and satisfaction." - Zachary Marcum, PharmD, MS, Magee-Womens Hospital of UPMC


Grant Application

Zachary Marcum, PharmD, MS, in partnership with Neil Resnick, MD, and Anne Kisak, MBA, MSN, CRNP, of Magee-Womens Hospital of UPMC


Proposed Innovation

Older patients are often confused and frustrated with medication instructions following hospital discharge, putting them at high risk of potentially dangerous medication discrepancies, or errors.

To address this mounting problem, this project will follow older patients within seven days of hospital discharge from Magee-Womens Hospital of UPMC to identify the root causes of common medication discrepancies. Investigators will use shared decision making to engage patients and caregivers and improve understanding of the medication information they need — and want — when leaving the hospital.


Improvements in Action

The team is working on a screening tool to identify patients at high risk for medical discrepancies after discharge. The team is also revising medication education material given to patients on discharge to make them more “patient-centered.”


Results – In Progress

The project is expected to improve understanding of medications and empower the patient and their caregiver as informed care partners — resulting in reduced medication discrepancies and improved care. Equipping clinicians with a risk-screening tool will further reduce discrepancies and improve care. The end result: improved quality of care and quality of life for older adults, reduced caregiver stress regarding medications, and reduced readmissions.