BACKGROUND Hemodialysis (HD) patients are on multiple medications, see many prescribers and have many hospitalizations which put them at risk for medication record discrepancies and medication related problems (MRP). Being able to effectively identify and reconcile these medication issues is crucial in reducing hospitalizations, morbidities, and mortalities. The care of the hemodialysis patient...

OBJECTIVE To introduce pharmacists to the process, challenges, and opportunities of creating transitions of care (TOC) models in the inpatient, ambulatory, and community practice settings. METHODS TOC literature and resources were obtained through searching PubMed, Ovid, and GoogleScholar. The pharmacist clinicians, who are the authors in this manuscript are reporting their experiences in the...

Stagnation in hospitals' adoption of data integration functionalities coupled with reduction in the number of operational health information exchanges could become a significant impediment to hospitals' adoption of 3 critical capabilities: electronic health information exchange, interoperability, and medication reconciliation, in which electronic systems are used to assist with resolving medica...

BACKGROUND Organizing care into integrated practice units (IPUs) around conditions and patient segments has been proposed to increase value. We organized transitional care into an IPU (THC-IPU) for a patient segment of functionally dependent patients with limited community ambulation. METHODS 1,166 eligible patients were approached for enrolment into THC-IPU. THC-IPU patients received a compr...

Within the last decade there has been considerable national attention focused upon hospital quality and patient safety performance. Improvements in performance have been realized, but the rate of improvement has been slow. There is an increasing consensus that new ideas and national strategies are needed to accelerate improvement efforts in addressing quality/safety issues. Currently, within th...

Why do so many hospitals find the task of medication reconciliation so difficult? In part, it's because so many people are involved in tracking the medications a patient takes before, during and after a hospital stay. "There are so many folks in this marriage that it's difficult to manage," says Chris Snyder, D.O., chief medical information officer at Peninsula Regional Medical Center, Salisbur...

Background: To prevent adverse drug events and promote patient safety, medication reconciliation is critical in all patient care settings. The purpose of this study was to identify medication discrepancies occurring in an inpatient medicine unit and to analyze the clinical and economic benefit of clinical pharmacist and physician team collaboration. Methods: A prospective cohort study in which ...

Medication errors (ME) are frequent in the admission of patients to ICU and can be identified prevented through medication reconciliation (MR). Our aim was evaluate incidence, type severity MEs associated factors, during MR ICU. This is a prospective, analytical approach, performed private hospital, where MRs were evaluated from April June 2016. The SPSS Stata programs used analyse data. Logist...