Medication errors are one of the important factors that increase fatal injuries to the patients and burden significant economic costs to the health care. An appropriate medical history could reduce errors related to omission of the previous drugs at the time of hospitalization. The aim of this study, as first one in Iran, was evaluating the discrepancies between medication histories obtained by...

Medication errors are one of the important factors that increase fatal injuries to the patients and burden significant economic costs to the health care. An appropriate medical history could reduce errors related to omission of the previous drugs at the time of hospitalization. The aim of this study, as first one in Iran, was evaluating the discrepancies between medication histories obtained by...

canadianhealthcarenetwork.ca Adverse drug events and medication discrepancies continue to be a patient safety challenge for patients and healthcare professionals. Vulnerable moments, defined as points in time when a patient is at high risk for medication discrepancies, often occur at interfaces of care when a patient moves from one healthcare setting to another, such as admission and discharge ...

Medication reconciliation can help prevent adverse health outcomes, but the process is nontrivial. At its core is a list reconciliation problem: take n lists, review all j items, and decide which k items to keep. That alone, however, can be mentally taxing and error-prone -especially so in the medical context, in which discrepancies of any kind may be clinically significant. Twinlist offers a f...

The continuing problem of inaccurate medication records and resultant harm from medication errors has prompted the Institute of Medicine and others to encourage information technology (IT) solutions to improve medication list accuracy. There are few studies on how ambulatory care documentation contributes to medication list inaccuracies and medication reconciliation failures. To address medicat...

A "transitional care pharmacist" (TCP) was deployed within an acute care setting to identify opportunities for improved continuity of care. The provision of medication reconciliation services, drug consultation, patient counseling and planning for after-hospital care was time consuming but also fruitful, resulting in roughly nine interventions per patient. Areas with the greatest potential for ...

AIM To evaluate the clinical pharmacist-led medication reconciliation process in clinical practice by quantifying and analyzing unintentional medication discrepancies at hospital admission. METHODS An observational prospective study was conducted at the Clinical Department of Internal Medicine, University Hospital Dubrava, during a 1-year period (October 2014 - September 2015) as a part of th...

BACKGROUND To assess performance in medication reconciliation (med rec)-the process of comparing and reconciling patients' medication lists at clinical transition points-and demonstrate improvement in an outpatient setting, sustainable and valid measures are needed. METHODS An interdisciplinary team at National Jewish Health (Denver) attempted to improve med rec in an ambulatory practice serv...

BACKGROUND The role of the clinical pharmacist within the healthcare system remains unclear. OBJECTIVE Our objective was to describe a pharmacist's comprehensive geriatric assessment (pCGA) at admission of elderly patients and to assess its relevance in terms of medication compliance and pharmacist interventions (PIs). METHODS We conducted a prospective interventional study over 29 months i...

OBJECTIVE To measure length of hospital stay (LHS) in patients receiving medication reconciliation. Secondary characteristics included analysis of number of preadmission medications, medications prescribed at admission, number of discrepancies, and pharmacists interventions done and accepted by the attending physician. METHODS A 6 month, randomized, controlled trial conducted at a public teac...