Effect of medication reconciliation at hospital admission on medication discrepancies during hospitalization and at discharge for geriatric patients.

Pieter Cornu; Stephane Steurbaut; Tinne Leysen; Eva De Baere; Claudine Ligneel; Tony Mets; Alain G. Dupont

Study

Effect of medication reconciliation at hospital admission on medication discrepancies during hospitalization and at discharge for geriatric patients.

April 11, 2012

Cornu P, Steurbaut S, Leysen T, et al. Ann Pharmacother. 2012;46(4):484-494.

View more articles from the same authors.

Medication reconciliation performed by clinical pharmacists reduced discharge medication discrepancies in geriatric patients at a Belgian university hospital. Persistent discrepancies were often due to physicians failing to follow the pharmacists' recommendations.

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