Benjenk I, DuGoff EH, Jacobsohn GC, et al. - As adherence to emergency department (ED) discharge instructions is necessary to lower the risk for adverse outcomes among older adults discharged from the ED, researchers attempted to determine the individual‐level factors linked with adherence with ED discharge instructions among these older adults. From a randomized controlled trial testing a care transitions intervention among older adults (age ≥ 60 years) discharged home from the ED in two states, data from the control group was obtained for performing this secondary analysis. They identified a total 824 patients as potentially eligible; of these, 699 had data in at least one pillar. In this study, the patients had mixed rates of adherence to discharge instructions. Adherence to medication instructions was observed in a total of 35%, adherence to follow‐up instructions was reported in 76%, and there were 35% who recalled at least one red flag (signs of worsening health requiring further medical attention). Multivariable logistic regression suggested no factors to be significantly linked with failure to adhere to medications. Although some subgroups seemed to be at higher risk than others, given the opportunity to improve ED‐to‐home transitions, EDs and health systems are emphasized to consider providing additional care transition support to all older adults discharged home from the ED.