This WebM&M highlights two cases where home diabetes medications were not reviewed during medication reconciliation and the preventable harm that could have occurred. The commentary discusses the importance of medication reconciliation, how to compile the ‘best possible medication history’, and how pharmacy staff roles and responsibilities can reduce medication errors.
ISMP Medication Safety Alert! Acute care edition. May 19, 2022;27(10):1-5.
Institute for Safe Medication Practices and the Just Culture Company. May 6, 2022.