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. June 2, 2022;27(11):1-4.
Grimm CA. Washington DC: Office of the Inspector General; May 2022. Report no. OEI-06-18-00400.
Kelman B. Kaiser Health News. April 29, 2022.