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Journal Article

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

Cornu P, Steurbaut S, Leysen T, et al. The Annals of pharmacotherapy. 2012;46:484-94.

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.