Key result
The combination of pharmacist-led medication reconciliation at admission and interprofessional ward rounds significantly reduced the number of drug-related problems at hospital discharge compared to standard care (RR 0.33).
Why the study?
Patients are at risk of drug-related problems during transitions of care, including hospital discharge.
Does pharmacist-led medication reconciliation and interprofessional ward rounds reduce drug-related problems at hospital discharge in adult internal medicine patients?
Population
4545 patients with 6072 hospital stays discharged from internal medicine wards
Comparison
Pharmacist-led medication reconciliation, interprofessional ward rounds, or both vs standard care
Design
Retrospective single-center cohort study
Authors
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Pharmacist-led reconciliation may reduce discharge DRPs; hypothesis-generating and requires prospective trials before practice change.
Cohort (n=6,072)
No
Does pharmacist-led medication reconciliation and interprofessional ward rounds reduce drug-related problems at hospital discharge in adult internal medicine patients?
Relative Risk: 0.33 (95% CI 0.16–0.65)
The combination of pharmacist-led medication reconciliation at admission and interprofessional ward rounds significantly reduces drug-related problems at hospital discharge in internal medicine patients.
Studer et al. (2022) conducted a cohort in Drug-related problems at hospital discharge (n=6,072). Pharmacist-led medication reconciliation at admission and interprofessional ward rounds vs. Standard care (medication history taken by physician and regular ward rounds) was evaluated on Number of drug-related problems (DRPs) at hospital discharge (RR 0.33, 95% CI 0.16-0.65). The combination of pharmacist-led medication reconciliation at admission and interprofessional ward rounds significantly reduced the number of drug-related problems at hospital discharge compared to standard care (RR 0.33).