Postdischarge pharmacist medication reconciliation: Impact on readmission rates and financial savings

Attitudes of physicians, nurses and pharmacists concerning the development of clinical pharmacy activities in a university hospital

“…It is interesting that for these two statements the mean scores of agreement were among the lowest for all three professional groups. Despite many reports about a positive economic impact of clinical pharmacists' activities in the literature (18)(19)(20)(21)(22)(23)(24)(25)(26)(27), physicians and nurses found those clinical pharmacists' activities less important. Budgeting and cost containment in the hospital is the responsibility of managers rather than pharmacists.…”

Automated Conversation System Before Pediatric Primary Care Visits: A Randomized Trial

“…For medication reconciliation, PHP asked parents to gather all their child' s medications and PHP read the medication list from the medical record as parents reviewed bottle labels. 20 During postvisit interviews, accuracy of the medication list was determined using a structured form that was preprinted with EHR data and then updated manually during the interview. Within the EHR, all changes were visible so research staff could identify what was recorded in the EHR as of the end of the visit.…”

“…RHCM areas include (1) general health supervision, 16 (2) developmental screening, 17 (3) diet and physical activity, 4 (4) tuberculosis risk assessment, 4 (5) smoking risk assessment, 13 and (6) maternal depression screening. 18 Each call also addressed medication safety examining (1) what medications on the EHR medication list the child was actually taking, 19,20 (2) age-appropriate medication use, 21 and (3) proper use of asthma controller and reliever medication if applicable. The day before each scheduled visit, PHP data were transferred to the EHR.…”

The National Neurosurgery Quality and Outcomes Database Qualified Clinical Data Registry: 2015 measure specifications and rationale

“…68 Hospitalization puts patients at high risk for medication errors after discharge at least in part because medication records are often incomplete. 14,75 Medication reconciliation postdischarge is, therefore, a critical component of care coordination.…”

“…77 Although the magnitude of the effect of medication reconciliation alone on patient outcomes is not well studied, there is agreement among experts that potential benefits outweigh the harm. 30,59,72,112 Postdischarge medication reconciliation is an effective tool to reduce preventable adverse drug events associated with injury or death 57,112 and minimize duplication and complexity of a medication regimen to support adherence, 153 and it has the potential to reduce emergency department visits, 71 hospital readmission rates, 68,71 and morbidity. 42 Postdischarge medication reconciliation is recommended by the Joint Commission patient safety goals, 50 the American Geriatric Society, 30 and the Society of Hospital Medicine, 73 and measurement of postdischarge medication reconciliation is a priority area of the National Quality Forum and the National Priorities Partnership.…”