Impact of pharmacists directed medication reconciliation on reducing medication discrepancies during transition of care in hospital setting.

Randomized controlled study

 

Setting: Hospital

 

 

- To evaluate the effect of pharmacist's directed services (reconciliation plus counselling) on reducing medication discrepancies during a 3month study period - 200 internal medicine patients from Jordan University Hospital - 2 groups: control vs intervention

- The number and types of medication discrepancies

were identified at admission.

- At discharge, the number of unintentional discrepancies was evaluated for both groups

- The total number of identified unintentional discrepancies was 84 for the intervention group compared with 60 discrepancies for the control group.

- At discharge, a significant reduction in the number of unintentional discrepancies was achieved for the intervention group, while no significant change was found for the control group

- The presence of clinical pharmacists in hospital wards had a promising effect on decreasing the number of medication errors Salameh

LK et al.

(2018)

 

No open access version available

Salameh LK, Farha RKA, Hammour KMA, Basheti IA. Impact of pharmacists directed medication reconciliation on reducing medication discrepancies during transition of
care in hospital setting. Journal of Pharmaceutical Health Services Research. 2018;10(1):149-156. doi:10.1111/jphs.12261