Impact of Pharmacist Facilitated Discharge Medication Reconciliation

Pharmacy

Todd M. Super¹  Shaun W. Phillips²  Robert P. Coffey¹ 

[1] Clinical Staff Pharmacist at Bronson Battle Creek, 300 North Avenue Battle Creek, Battle Creek, MI 49017, USA; E-Mails:;Vice President, Clinical and Pharmacy Services, Bronson Healthcare Group, 300 North Avenue Battle Creek, Battle Creek, MI 49017, USA; E-Mail:

关键词: medication reconciliation;    hospital discharge;    pharmacist facilitated;    medication errors;    pharmacy;    discharge;    medication discrepancies;   

DOI  :  10.3390/pharmacy2030222

来源: mdpi

【 摘 要 】

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.

【 授权许可】

CC BY   
© 2014 by the authors; licensee MDPI, Basel, Switzerland.