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Medication Reconciliation & ED Visits in Diabetes

Diabetes Care; ePub 2018 Jun 11; Turchin, et al

A higher portion of reconciled outpatient diabetes medications was associated with a lower frequency of emergency department (ED) visits and hospitalizations, a new study found. Researchers studied adults taking at least 1 diabetes medication treated in primary care practices between 2000 and 2014 and assess the relationship between the fraction of outpatient diabetes medications reconciled over a 6-month period and the composite primary outcome of combined frequency of ED visits and hospitalizations over the subsequent 6 months. They found:

  • Among 261,765 reconciliation assessment periods contributed by 31,689 patients, 176,274 (67.3%), 27,775 (10.6%), and 57,716 (22.1%) had all, some, or none of the diabetes medications reconciled, respectively.
  • Patients with all, some, or no diabetes medications reconciled had 0.354, 0.377, and 0.384 primary outcome events per 6 months, respectively.
  • Having some or all vs no diabetes mediations reconciled was associated with a lower risk of the primary outcome.
  • Individual performance feedback to providers was associated with a significant increase in the odds of all diabetes medication being reconciled.

Citation:

Turchin A, Sosina O, Zhang H, et al. Ambulatory medication reconciliation and frequency of hospitalization and emergency department visits in patients with diabetes. [Published online ahead of print June 11, 2018]. Diabetes Care. doi:10.2337/dc17-1260.