Abstract
ABSTRACT One of the current barriers proposed to avoid possible medication errors, and consequently harm to patients, is the medication reconciliation, a process in which drugs used by patients prior to hospitalization can be compared with those prescribed in the hospital. This study describes the results of a pharmacist based reconciliation conducted during six months in clinical units of a university hospital. Fourteen patients (23.33%) had some kind of problem related to medicine. The majority (80%) of medication errors were due to medication omission. Pharmaceutical interventions acceptance level was 90%. The results suggest that pharmacists based reconciliation can have a relevant role in preventing medication errors and adverse events. Moreover, the detailed interview, conducted by the pharmacist, is able to rescue important information regarding the use of drugs, allowing to avoid medications errors and patient injury.
Highlights
Health care innovations, including new medicines, have been providing improvements in the quality and life expectancy of thousands of people, and make the health care process increasingly expensive and complex (Rosa, Perini, 2003; Chambers et al, 2014)
This study presents no real or potential conflict of interest from the authors
During the data collection period, 79 patients were admitted to the Masculine and Feminine Medical Clinics
Summary
Health care innovations, including new medicines, have been providing improvements in the quality and life expectancy of thousands of people, and make the health care process increasingly expensive and complex (Rosa, Perini, 2003; Chambers et al, 2014). In this scenario, the safe use of medicines became one of the most significant challenges to be faced by all the health care stakeholders, including scientific societies, health organizations and hospitals around the world (Moran, Scanlon, 2013).
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