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- Clinical Pharmacist Involvement
- Health Care Providers
- Medication Errors/Preventable Adverse Drug Events
- Outpatient Pharmacy
Cases & Commentaries
- Web M&M
Tom Bookwalter, PharmD; June 2004
A woman given is found cyanotic on morning rounds. Her methemoglobinemia is determined to be from a roughly 7-fold overdose of dapsone.
Journal Article > Commentary
Thurmann PA. Expert Opin Drug Saf. 2006;5:489-493.
The author discusses how technology can help minimize medication errors and suggests that both the shortcomings and strengths of technology be considered when shaping medication error reduction programs.
Journal Article > Study
Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease.
Murray MD, Ritchey ME, Wu J, Tu W. Arch Intern Med. 2009;169:757-763.
This retrospective analysis of two randomized trials found that counseling provided by a pharmacist was associated with fewer adverse drug events, even among complex, chronically ill patients.
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
Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge.
Najafzadeh M, Schnipper JL, Shrank WH, Kymes S, Brennan TA, Choudhry NK. Am J Manag Care. 2016;22:654-661.
Medication discrepancies between hospital and outpatient regimens can contribute to adverse events following hospital discharge. Pharmacist involvement in medication reconciliation is known to improve medication accuracy and reduce adverse drug events. This modeling study examined how implementing pharmacist-led medication reconciliation at hospital discharge affects a hospital payer's costs. Investigators calculated that an intervention that reduced medication discrepancies by 10% would be cost neutral. If pharmacist-led medication reconciliation improves accuracy as much as prior studies suggest, then implementing this process at hospital discharge should save costs. A past WebM&M commentary described a medication discrepancy that led to an adverse drug event.