AHRQ Patient Safety Network ► Reducing errors through discharge medication reconciliation by pharmacy services

AHRQ Patient Safety Network





Reducing errors through discharge medication reconciliation by pharmacy services.

Bishop MA, Cohen BA, Billings LK, Thomas EV. Am J Health Syst Pharm. 2015;72(17 suppl 2):S120-S126.

In this observational study at a large academic medical center, pharmacists found medication discrepancies in 41% of patients discharged by the hospitalist service. The authors advocate for involving pharmacists in discharge medication reconciliation to avoid adverse drug events, though this strategy has previously yielded mixed results.

PubMed citation 
Available at 

Related Resources

REVIEW

Hospital-based medication reconciliation practices: a systematic review.

Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Arch Intern Med. 2012;172:1057-1069.

COMMENTARY

Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge.

Murphy EM, Oxencis CJ, Klauck JA, Meyer DA, Zimmerman JM. Am J Health Syst Pharm. 2009;66:2126-2131.

STUDY

Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial.

Kripalani S, Roumie CL, Dalal AK, et al; PILL-CVD (Pharmacist Intervention for Low Literacy in Cardiovascular Disease) Study Group. Ann Intern Med. 2012;157:1-10.

STUDY

Improving medication safety with accurate preadmission medication lists and postdischarge education.

Gardella JE, Cardwell TB, Nnadi M. Jt Comm J Qual Patient Saf. 2012;38:452-458.

View all related resources...