Effectiveness of Clinical Pharmacists-Led Medication Reconciliation to Prevent Medication Discrepancies in Hospitalized Patients: A Non-Randomized Controlled Trial

References

• Health-syst AJ. Implementation of medication reconciliation. Am J Health Syst Pharm. 2020;77(2):67–68. doi:10.1093/ajhp/zxz279
   PubMedGoogle Scholar
• Chan C, Woo R, Seto W, Pong S, Gilhooly T, Russell J. Medication reconciliation in pediatric cardiology performed by a pharmacy technician: a prospective cohort comparison study. Can J Hosp Pharm. 2015;68(1):8–153. doi:10.4212/cjhp.v68i1.1419
   PubMedGoogle Scholar
• Trompeter JM, McMillan AN, Rager ML, Fox JR. Medication discrepancies during transitions of care: a comparison study. J Healthc Qual. 2015;37(6):325–332. doi:10.1111/jhq.12061
   PubMedGoogle Scholar
• Elamin MM, Ahmed KO, Saeed OK, Abd M, Yousif E. Impact of clinical pharmacist ‑ led medication reconciliation on therapeutic process. Saudi J Health Sci. 2021;10(2):73–79. doi:10.4103/sjhs.sjhs_6_21
   Google Scholar
• Leguelinel-blache G, Arnaud F, Bouvet S, et al. Impact of admission medication reconciliation performed by clinical pharmacists on medication safety Discrepancy detection. Eur J Intern Med. 2014;25(9):808–814. doi:10.1016/j.ejim.2014.09.012
   PubMed Web of Science ®Google Scholar
• Caleres G, Modig S, Midlöv P, Chalmers J, Bondesson A. Medication discrepancies in discharge summaries and associated risk factors for elderly patients with many drugs. Drugs - Real World Outcomes. 2019;7(1):53–62. doi:10.1007/s40801-019-00176-5
   Google Scholar
• Lemay J, Bayoud T, Husain H, Sharma P. Assessing the knowledge, perception and practices of physicians and pharmacists towards medication reconciliation in Kuwait governmental hospitals: a cross-sectional study. BMJ Open. 2019;9(6):1–10. doi:10.1136/bmjopen-2018-027395
   PubMedGoogle Scholar
• Giannini O, Rizza N, Pironi M, et al. Prevalence, clinical relevance and predictive factors of medication discrepancies revealed by medication reconciliation at hospital admission: prospective study in a Swiss internal medicine ward. BMJ Open. 2019;9(5):e026259. doi:10.1136/bmjopen-2018-026259
   PubMedGoogle Scholar
• Patel CH, Zimmerman KM, Fonda JR, Linsky A. Medication complexity, medication number, and their relationships to medication discrepancies. Ann Pharmacother. 2016;50(7):534–540. doi:10.1177/1060028016647067
   PubMedGoogle Scholar
• Bonaudo M, Martorana M, Dimonte V, et al. Medication discrepancies across multiple care transitions: a retrospective longitudinal cohort study in Italy. PLoS One. 2018;13(1):1–13. doi:10.1371/journal.pone.0191028
   Google Scholar
• Graabæk T, Terkildsen BG, Lauritsen KE, Almarsdóttir AB. Frequency of undocumented medication discrepancies in discharge letters after hospitalization of older patients: a clinical record review study. Ther Adv Drug Saf. 2019;10:1–8. doi:10.1177/2042098619858049
   Google Scholar
• Coletti DJ, Stephanou H, Mazzola N, Conigliaro J, Gottridge JA, Kane JM. Patterns and predictors of medication discrepancies in primary care. J Eval Clin Pract. 2015;21(5):831–839. doi:10.1111/jep.12387
   PubMedGoogle Scholar
• Costa LL, Do BH. Post-hospital medication discrepancies at home: risk factor for 90-day return to emergency department. J Nurs Care Qual. 2018;33(2):180–186. doi:10.1097/NCQ.0000000000000278
   PubMedGoogle Scholar
• Silvestre CC, Santos LMC, de OS SR, et al. Risk factors for unintentional medication discrepancies at hospital admission: a matched case-control study. Eur J Intern Med. 2017;40:e24–e25. doi:10.1016/j.ejim.2017.02.003
   PubMedGoogle Scholar
• Nf L, Eduardo A, Mendes M, et al. Analysis of the discrepancies identified during medication reconciliation on patient admission in cardiology units: a descriptive study. Rev. 2016;24:e2760.
   Google Scholar
• Nassaralla CL, Naessens JM, Chaudhry R, Hansen MA, Scheitel SM. Implementation of medication reconciliation process in an ambulatory internal medicine clinic. Qual Saf Health Care. 2007;16(2):90–95. doi:10.1136/qshc.2006.021113
   PubMedGoogle Scholar
• Ahmed KO, Muddather HF, Yousef BA. Pharmaceutical care network Europe (PCNE) drug-related problems classification version 9.1: first Implementation in Sudan. J Pharm Res Int. 2021;33(33A):699–706. doi:10.9734/jpri/2021/v33i59A34321
   Google Scholar
• Aje AA, Showande SJ, Adisa R, et al. Effect of educational intervention on medication reconciliation practice of hospital pharmacists in a developing country–A non-randomized controlled trial. BMC Med. 2023;23(1):867. doi:10.1186/s12909-023-04844-7
   Google Scholar
• Daniel WW, Cross CL. Biostatistics: A Foundation for Analysis in the Health Sciences. 11th ed. New York: John Wiley & Sons; 2018.
   Google Scholar
• World Health Organization. Assuring medication accuracy at transitions in care: medication reconciliation. High5s Proj – Stand Oper Protoc Med Rec. 2007;1–36.
   Google Scholar
• Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165(4):424–429. doi:10.1001/archinte.165.4.424
   PubMed Web of Science ®Google Scholar
• Nilsson N, Lea M, Lao Y, et al. Medication discrepancies revealed by medication reconciliation and their potential short-term and long-term effects: a Norwegian multicenter study carried out on internal medicine wards. Eur J Hosp Pharm. 2015;22(5):298–303. doi:10.1136/ejhpharm-2015-000686
   Google Scholar
• AbuRuz SM, Bulatova NR, Yousef AMM, Al-Ghazawi MA, Alawwa IA, Al-Saleh A. Comprehensive assessment of treatment-related problems in hospitalized medicine patients in Jordan. Int J Clin Pharm. 2011;33(3):501–511. doi:10.1007/s11096-011-9497-y
   PubMedGoogle Scholar
• States U, Commission J, Patient N, Goals S, Commission J, Com- TJ. Pharmacist- versus physician-obtained medication histories. Am J Health-Syst Pharm. 2008;65(9):857–860. doi:10.2146/ajhp070292
   PubMedGoogle Scholar
• Cullinan S. Application of the structured history taking of medication use tool to optimize prescribing for older patients and reduce adverse events. Int J Clin Pharm. 2016;65(9):857–860. doi:10.1007/s11096-016-0254-0.
   Google Scholar
• Der Luit CDE V, De Jong IR, Ebbens MM, et al. Frequency of occurrence of medication discrepancies and associated risk factors in cases of acute hospital admission. Pharm Pract. 2018;16(4):1–5.
   Google Scholar
• Huynh C, Tomlin S, Jani Y, et al. An evaluation of the epidemiology of medication discrepancies and clinical significance of medicines reconciliation in children admitted to hospital. Arch Dis Child. 2016;101(1):67–71. doi:10.1136/archdischild-2015-308591
   PubMedGoogle Scholar
• Karaoui LR, Chamoun N, Fakhir J, et al. Impact of pharmacy-led medication reconciliation on admission to internal medicine service: experience in two tertiary care teaching hospitals. BMC Health Serv Res. 2019;19(1):1–9. doi:10.1186/s12913-019-4323-7
   PubMedGoogle Scholar