Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model.
Approach to Improving Safety
Setting of Care
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.