Nurse identified hospital to home medication discrepancies: implications for improving transitional care

Geriatr Nurs. May-Jun 2010;31(3):188-96. doi: 10.1016/j.gerinurse.2010.03.006.


Care transitions are clinically dangerous times, particularly for older adults with complex health problems. This article describes the most common medication discrepancies identified by nurses during patients' (n = 101) hospital to home transition. Findings indicated that medication discrepancies were astoundingly widespread, with 94% of the participants having at least 1 discrepancy. The average number of medication discrepancies identified was 3.3 per participant. Medication discrepancies were identified in virtually all classes of medications, including those with high safety risks. Evidence-based best practices to reduce transition-related medication discrepancies are presented.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Continuity of Patient Care*
  • Drug Prescriptions*
  • Drug-Related Side Effects and Adverse Reactions
  • Evidence-Based Nursing
  • Home Care Services*
  • Nursing Staff, Hospital*