The effect of a pharmaceutical transitional care program on rehospitalisations in internal medicine patients: an interrupted-time-series study

Table 2 Fidelity of the COACH program (n = 365)

Implementation of	After-period (%)	Performed by
Medication reconciliation at hospital admission^a	335 (91.8)	Pharmaceutical consultant
Medication reconciliation at hospital discharge	365 (100.0)	Pharmaceutical consultant
Patient counselling at hospital discharge	365 (100.0)	Pharmaceutical consultant
Information exchange to community pharmacist	365 (100.0)	Pharmaceutical consultant
Information exchange to general practitioner^b	102 (27.9)	Resident

^afor the other 8.2% of patients medication reconciliation could not be performed due to a short hospitalisation
^bfor 72.1% of patient the resident failed to upload the discharge medication overview into the discharge letter. If the discharge medication overview was uploaded, the resident could adjust the information, e.g. delete information regarding allergies or contra-indications

ISSN: 1472-6963