Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model.
Keeys C, Kalejaiye B, Skinner M, et al. Am J Health Syst Pharm. 2014;71:2159-2166.
Providing patients with an accurate list of their medication at discharge can be challenging. This commentary reveals the development, implementation, and initial testing of a service managed by pharmacists that engaged telepharmacy support as partners to enhance medication reconciliation at discharge. By the end of the 19-month pilot program, the service enhanced the quality of final medication lists and documentationgiven to patients at discharge.
Practitioners agree on medication reconciliation value, but frustration and difficulties abound.
ISMP Medication Safety Alert! Acute Care Edition. July 13, 2006;11:1-2.
Implementation of an electronic system for medication reconciliation.
Kramer JS, Hopkins PJ, Rosendale JC, et al. Am J Health Syst Pharm. 2007;64:404-422.
Examining medication reconciliation from a perspective of safety.
Daly M, Lee B. Formulary. August 8, 2013.
COMMENTARYView all related resources...
Improving care transitions: current practice and future opportunities for pharmacists.
American College of Clinical Pharmacy, Hume AL, Kirwin J, et al. Pharmacotherapy. 2012;32:e326-e337.
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