Pharmacy 2014, 2(3), 222-230; doi:10.3390/pharmacy2030222

Impact of Pharmacist Facilitated Discharge Medication Reconciliation

1,* email, 2email, 1email and 1email
Received: 19 March 2014; in revised form: 15 July 2014 / Accepted: 18 July 2014 / Published: 25 July 2014
(This article belongs to the Special Issue Medicines across the Interface)
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract: Preventable adverse drug events occur frequently at transitions in care and are a problem for many patients following hospital discharge. Many of these problems can be attributed to poor medication reconciliation. The purpose of this study was to assess the impact that direct pharmacist involvement in the discharge medication reconciliation process had on medication discrepancies, patient outcomes, and satisfaction. A cohort study of 70 patients was designed to assess the impact of pharmacist facilitated discharge medication reconciliation at a 204-bed community hospital in Battle Creek, Michigan, USA. Discharge summaries were analyzed to compare patients who received standard discharge without pharmacist involvement to those having pharmacist involvement. The total number of discrepancies in the group without pharmacist involvement was significantly higher than that of the pharmacist facilitated group.
Keywords: medication reconciliation; hospital discharge; pharmacist facilitated; medication errors; pharmacy; discharge; medication discrepancies
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MDPI and ACS Style

Super, T.M.; Phillips, S.W.; Coffey, R.P.; Patterson, S.A. Impact of Pharmacist Facilitated Discharge Medication Reconciliation. Pharmacy 2014, 2, 222-230.

AMA Style

Super TM, Phillips SW, Coffey RP, Patterson SA. Impact of Pharmacist Facilitated Discharge Medication Reconciliation. Pharmacy. 2014; 2(3):222-230.

Chicago/Turabian Style

Super, Todd M.; Phillips, Shaun W.; Coffey, Robert P.; Patterson, Sean A. 2014. "Impact of Pharmacist Facilitated Discharge Medication Reconciliation." Pharmacy 2, no. 3: 222-230.

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