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Medication reconciliation: passing phase or real need?

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Abstract

Medication reconciliation errors occur across transitions in patient care. Of all medication errors in a hospital, 25 % in hospitalised patients are caused by a failure to reconcile new prescriptions with ongoing home treatments. These errors are more common at discharge, but the critical moment for detecting and resolving them is at the time of admission. This commentary reviews the different ways in which reconciliation errors can be prevented. The reconciliation process should be standardised and implemented in daily practice as a routine part of healthcare provision. To achieve this, professional development of hospital pharmacists is of paramount importance. The commentary goes on to describe the factors that affect the reconciliation process and the stages involved in its implementation. Finally, we discuss the use of information technology as a means to help integrating medication reconciliation into clinical practice.

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Acknowledgments

The authors would like to thank A.B. Jiménez and F. Martínez for their contribution to the initial planning of this article and A. Giménez for their contribution to the literature search.

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The authors declare that they have no conflicts of interest.

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Correspondence to Esther Durán-García.

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Durán-García, E., Fernandez-Llamazares, C.M. & Calleja-Hernández, M.A. Medication reconciliation: passing phase or real need?. Int J Clin Pharm 34, 797–802 (2012). https://doi.org/10.1007/s11096-012-9707-2

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  • DOI: https://doi.org/10.1007/s11096-012-9707-2

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