​ Clear Rx: Smarter Discharge for Older Adults

Publication Date

Spring 2026

Presentation Length

Poster/Gallery presentation

College

Gordon E. Inman College of Nursing

Department

Nursing, School of

Student Level

Undergraduate

Faculty Mentor

Linda Wofford

Presentation Type

Poster

Summary

The older adult population at Naval Hospital, Camp Pendleton are struggling to maintain their health due to medication discrepancies during discharge. Many older adults take five or more prescribed medications, and teaching is ineffective. Medication mismanagement, such as nonadherence, adverse drug events, accessibility, having multiple medications, and lack of knowledge and awareness, leads to avoidable hospital stays (Christopher et al., 2022). Our goal in addressing this gap is to provide better education on prescribed medications. The Durable Display at Discharge (3D) addresses this gap by providing drug name labels, indications, schedules, and reconciliation features to help patients take their medication correctly, consistently, and safely. The laminated, large font medication cards will be distributed to older adult patients at discharge. By weeks 6-8, interdisciplinary teams will have approved compliance tools and educated pharmacy staff and nurses on assembling the individualized 3D card. Staff will receive incentives after attending the implementation educational session. We expect to see reduced adverse drug events and decreased hospital readmission rates within 30 to 90 days post- implementation, as measured by medication comprehension surveys completed by patients, and admission summaries capturing adverse drug events completed by nurses. By integrating this solution into routine discharge protocols and staff onboarding, hospitals can transform patient care by reducing medication-related complications and advancing hospital performance.

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