| Study type/ Setting | Methods | Outcomes | Recommendations | Source |
| Prospective 3 month study
Setting: Tertiary care hospital
|
- To identify the types of medication discrepancy that occurred during medication reconciliation performed by a pharmacist gathering the best possible medication history
- Medication histories taken by physician and by pharmacist gathering the BPMH were compared |
- Total number of medications recorded by physicians was 2,548, versus 3,085 by the pharmacist.
- 48.3% of patients had at least one unintended medication discrepancy by physicians. |
- Patient medication histories are frequently recorded inaccurately by physicians during admission of patients, resulting in medication-related errors and compromises in patient safety.
- Pharmacists can help in reducing these medication-related errors |
Abdulghani KH et al.
(2017)
|
| Abdulghani KH, Aseeri MA, Mahmoud A, Abulezz R. The impact of pharmacist-led medication reconciliation during admission at tertiary care hospital. International Journal of Clinical Pharmacy. 2017;40(1):196-201. doi:10.1007/s11096-017-0568-6 |
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