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What are the best practices for optimizing transitions from hospital to skilled nursing facilities for older adult patients, with specific regard to adapting hospital medication regimens to the skilled nursing facility setting?

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Mednet Member
Mednet Member
Geriatric Medicine · VA Greater Los Angeles Healthcare System

Medication errors and discrepancies are well known to lead to adverse drug events during transitions of care, as well as rehospitalization. The standard of care that has emerged over the last twenty years or so is rigorous medication reconciliation. Medication reconciliation is defined as comparing ...

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Mednet Member
Mednet Member
Geriatric Medicine · Icahn School of Medicine at Mount Sinai

As a geriatrician/palliative care physician with experience in both inpatient and nursing home settings, I’d like to share a few practical considerations for medication transitions that are often overlooked during hospital discharge planning.

1. Understand Medicare Coverage: SAR vs. LTC

It’s crucial...

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Mednet Member
Mednet Member
Geriatric Medicine · University of California, San Francisco

In addition to the answers already given, I like the 5 categories of errors presented in this article for thinking about transitions from hospital to SNF (Kuye et al., PMID 37783978).

Here is the summary from the article:

  1. Medication reconciliation: Examples of errors within medication reconciliation...

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What are the best practices for optimizing transitions from hospital to skilled nursing facilities for older adult patients, with specific regard to adapting hospital medication regimens to the skilled nursing facility setting? | Mednet