RT Journal Article
T1 The role of clinical pharmacists in the optimisation of medication prescription and reconciliation on admission in an emergency department
A1 Javier Arenas-Villafranca, Jose
A1 Manuel Rodriguez-Camacho, Juan
A1 Antonia Perez-Moreno, Maria
A1 Moreno-Santamaria, Manuela
A1 de Asis Martos-Perez, Francisco
A1 Tortajada-Goitia, Begona
K1 Adverse events
K1 Discrepancies
K1 Impact
K1 Care
AB Objectives To describe a clinical pharmacist's (CP) activity in an emergency department (ED) regarding medication reconciliation and optimisation of pharmacotherapy of patients at hospital admission.Methods A 1-year prospective observational study was conducted to analyse the activity of a CP in the ED of a 350-bed hospital in Spain. The CP reviewed home medications and medical prescriptions of patients to perform medication reconciliation if required and intervene if medication errors were detected.Results The CP reviewed medications and medical orders of 1048 patients. 816 patients had home medication: 440 patients (53.9%) were correctly reconciled by the physician; 136 (16.7%) were reconciled by the physician with unintentional discrepancies; and 240 (29.4%) by the CP, with a higher percentage in patients admitted to surgical departments (chi(2):38.698; P
PB Bmj publishing group
SN 2047-9956
YR 2018
FD 2018-03-01
LK http://hdl.handle.net/10668/19036
UL http://hdl.handle.net/10668/19036
LA en
DS RISalud
RD Apr 7, 2025