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PSNet: Patient Safety Network
Journal Article

Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model.

Keeys C, Kalejaiye B, Skinner M, et al. American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists. 2014;71:2159-66.

Providing patients with an accurate list of their medication at discharge can be challenging. This commentary reveals the development, implementation, and initial testing of a service managed by pharmacists that engaged telepharmacy support as partners to enhance medication reconciliation at discharge. By the end of the 19-month pilot program, the service enhanced the quality of final medication lists and documentation given to patients at discharge.