Journal Article

Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.

Grimes T; Delaney T; Duggan C; Kelly JG; Graham IM.

Medication reconciliation conducted by clinical pharmacists found that nearly one in nine patients discharged from an inpatient cardiology service had at least one discrepancy in their medication documentation. The most frequent error was inadvertent omission of a medication.