Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population.
Approach to Improving Safety
Setting of Care
This secondary data analysis found that most patients admitted to the hospital have their medications changed to another medication of the same class to be consistent with the hospital formulary. Researchers found that patients who undergo this therapeutic interchange are more likely to have errors in medication reconciliation at the time of hospital discharge compared to patients whose medications are not changed. The authors suggest that improved information technology may address this patient safety concern.