Key result
A postdischarge, pharmacist-provided home-based medication management service identified a median of two medication discrepancies and generated a median of two optimization recommendations per patient.
Observational (n=50)
A postdischarge home-based pharmacist medication management service successfully identified and resolved medication discrepancies during the transition from hospital to home.
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Supports pharmacist-led postdischarge medication review; hypothesis-generating for effects on readmissions or outcomes.
Pherson et al. (2014) conducted an observational in Postdischarge patients (n=50). Postdischarge home-based medication management service was evaluated on Medication discrepancies and recommendations for medication optimization. A postdischarge, pharmacist-provided home-based medication management service identified a median of two medication discrepancies and generated a median of two optimization recommendations per patient.
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