“Whose job is it, really?” physicians', nurses', and pharmacists' perspectives on completing inpatient medication reconciliation

Polypharmacy and potentially inappropriate prescriptions identified by Beers and STOPP criteria in co‐morbid older patients at hospital discharge

“…At hospital discharge, a review of the complete medications prescribed to the older patient should be performed, either by the geriatrician or the clinical pharmacist [32], prioritizing patients taking more than six drugs, as our study suggests. Through implementation of explicit criteria, discussion between health professionals and cautious analysis, a decision to minimize polypharmacy or deprescribe by reducing unnecessary medications is often required.…”

‘Our surgeons want this to be short and simple’: practices of in-hospital medication review as coordinated sociomaterial actions

“…Implementing and integrating medication review into routine care has been described as challenging and issues of fragmented systems and insufficient task clarity were found to be important barriers (Vogelsmeier et al 2013;Lee et al 2015). There is evidence that close contact between pharmacists and physicians (Christensen and Lundh 2016), pharmacists' integration in health care teams and the effective enactment of pharmacists' recommendations during in-hospital medication therapy result in favourable process outcomes (Hohl et al 2015).…”

Guidelines to Incorporate a Clinician User Experience (UX) into the Design of Patient-Operated mHealth

“…Clinical tasks, such as medication reconciliation, improve patient care but are difficult to complete because patients often forget details or clinicians are pressed for time [2]. The patient-operated mHealth (presented here) is designed to augment patient recall and increase clinician efficiency, with the potential to improve the conduct of a clinical encounter.…”