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PSNet: Patient Safety Network
Journal Article

What happens to the medication regimens of older adults during and after an acute hospitalization?

Harris CM, Sridharan A, Landis R, et al. Journal of patient safety. 2013;9:150-3.

This cohort study of elderly patients discharged from the medical service at a teaching hospital found that, on average, patients had two new medications started at discharge, and among their chronic medications had one discontinued and one dosage changed. However, 3 days after discharge, patients had reverted to taking their chronic medications as previously prescribed and had discontinued taking a significant proportion of new medications. This study highlights the practical challenges inherent in the medication reconciliation process.