impact-of-medication-reconciliation-by-clinical-pharmacist-during-hospital-admission-of-patients-with-chronic-kidney-disease-ckd-stage-iv-v-in-hospital-raub-pahang

Medication errors are more likely to occur during patient’s transition of care. There was very little information about impact medication reconciliation activities done for patients with chronic kidney disease (CKD) Stage IV-V admission stage in Malaysian Primary Hospitals. The objective this study is evaluate the clinical pharmacist’s hospital CKD IV-V. This cross-sectional carried out two multidisciplinary wards (male & female ward) Hospital Raub, Pahang over 12 months ethical approval. A pharmacist assigned enroll potential subjects both wards. Patients 18 years old who had previous history were included after obtaining informed consent. by within 24 working hours subjects. All detected discrepancies further classified as “intended” or “unintended” discussion prescribing medical officer. Severity Level each unintended discrepancy rated a visiting specialist. Twelve V recruited study. total 49 identified and most (89.8%) found be unintended. common omission error. Most (59.1%) “No harm”, while 40.9% “Potential monitoring and/or Intervention preclude harm”. None In conclusion, late-stage primary hospital. performed has role preventing harms that may arise from unintentional discrepancies.