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Cases & Commentaries
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Beth Devine, PharmD, MBA, PhD; April 2010
A medication dispensing error causes nausea, sweating, and irregular heartbeat in an elderly man with a history of cardiac arrhythmia. Investigation reveals that the patient was given thyroid replacement medication instead of antiarrhythmic medication.
Journal Article > Commentary
Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge.
Rodehaver C. Jt Comm J Qual Patient Saf. 2005;31:406-413.
The Joint Commission on Accreditation of Healthcare Organization's (JCAHO) National Patient Safety Goals advocate for hospitals to ensure medication reconciliation as part of their safety strategy. This article shares the views of a single institution in its efforts to construct reconciliation forms, design processes for use, and then audit the forms after put into practice. The authors offer a series of lessons learned from their implementation experience and suggest that future success relies on a team-oriented approach with consistent communication.
Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community.
ISMP Medication Safety Alert! Acute Care Edition. November 15, 2012;17:1-3.
This article details how a community liaison pharmacist who works with clinicians in hospitals can help reduce readmissions.
Journal Article > Study
Johnson CM, Marcy TR, Harrison DL, Young RE, Stevens EL, Shadid J. J Am Pharm Assoc. 2010;50:523-526.
In this study conducted in a community pharmacy, medication reconciliation identified an average of 6 medication discrepancies per patient, mostly pertaining to medications that had been discontinued but remained on the pharmacy list.