Unintended medication discrepancies at the time of hospital admission.
Cornish PL, Knowles SR, Marchesano R, et al. Arch Intern Med. 2005;165:424-429.
This prospective study compared admitting prescription medication orders with a comprehensive medication history obtained through interview. Investigators aimed to evaluate the differences between the two sets of medication lists to demonstrate the number of discrepancies. Results demonstrated that more than half of the study participants had at least one unintended discrepancy. The most common errors included ones of omission, and the majority of the errors led to no significant harm but some discomfort or clinical deterioration. The authors discuss the potential for intervention to reduce these types of medication errors and the role of pharmacists in assisting with accurate medication histories.
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Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge.
Rodehaver C. Jt Comm J Qual Patient Saf. 2005;31:406-413.
JCAHO views medication reconciliation as adverse-event prevention.
Thompson CA. Am J Health Syst Pharm. 2005;62:1528-1532.
Epidemiology, comparative methods of detection, and preventability of adverse drug events.
Al-Tajir GK, Kelly WN. Ann Pharmacother. 2005;39:1169-1174.
Promethazine adverse events after implementation of a medication shortage interchange.
Sheth HS, Verrico MM, Skledar SJ, Towers AL. Ann Pharmacother. 2005;39:255-261.
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