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- pharmacy service
- drug-related side effects and adverse reactions
- medical history taking
- quality of health care
Good clinical practice dictates that medication reconciliation should be performed regularly and during care transitions. Recently, Ceschi et al reported the findings of their well-executed randomised controlled trial (RCT).1 They undertook a medication reconciliation in patients at risk for medication-related harm and subsequent medication-related hospitals admissions, if they were at least 85 years old and/or if they used >10 medications. No positive impact on any of the clinical outcomes was found. Subsequently, the underlying assumption, that reducing unintentional discrepancies might reduce medication-related harm, remains largely unproven.
The medication reconciliation intervention performed by Ceschi et al did, however, uncover a very high number of discrepancies. At least one discrepancy was …
LH and JH are joint first authors.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.