Medication reconciliation to facilitate transitions of care after hospitalization.
Liu VC, Garwood CL. Medication reconciliation to facilitate transitions of care after hospitalization. Am J Health Syst Pharm. 2015;72(9):690-693. doi:10.2146/ajhp140133.
Geriatric patients are susceptible to medication errors due to polypharmacy and coexisting conditions, resulting in the need for enhanced transition coordination. This commentary describes a multidisciplinary program developed to improve medication reconciliation that engaged teams of inpatient and outpatient workers (including clinicians, pharmacists, and administrative staff) in performing follow-up phone calls and record review to confirm postdischarge medication regimens.