@article {Arenas-Villafrancaejhpharm-2017-001392, author = {Jos{\'e} Javier Arenas-Villafranca and Manuela Moreno-Santamar{\'\i}a and Carmen L{\'o}pez G{\'o}mez and Isabel Mu{\~n}oz G{\'o}mez-Mill{\'a}n and Elena {\'A}lvaro Sanz and Bego{\~n}a Tortajada-Goitia}, title = {An admission medication reconciliation programme carried out by pharmacists: impact on surgeons{\textquoteright} prescriptions}, elocation-id = {ejhpharm-2017-001392}, year = {2018}, doi = {10.1136/ejhpharm-2017-001392}, publisher = {BMJ Specialist Journals}, abstract = {Objectives To describe a medication reconciliation (MR) procedure prepared by the pharmacist for patients admitted for elective surgery and to assess the surgeon{\textquoteright}s degree of acceptance.Methods A 1-year retrospective observational study was conducted. The patient population consisted of patients aged >=18 years admitted during 2016 for elective surgery and whose planned length of hospital stay was \>24 hours. A pharmacist performed MR following a specific protocol. A review of the reconciliations prescribed later by the surgeons was conducted. Statistical analyses were performed for qualitative and quantitative variables.Results The pharmacist prepared a total of 1986 reconciliation reports. The 179 patients reviewed in this study had a mean age of 65.7{\textpm}11.8 years, 49.2\% were women and 98.9\% of patients were reconciled by the surgeon in the operating theatre using an electronic prescribing system (85.5\% were fully reconciled).Conclusion The hospital{\textquoteright}s MR protocol resulted in almost 100\% of patients being reconciled within the subgroup of elective surgery patients by the prescribing surgeons.}, issn = {2047-9956}, URL = {https://ejhp.bmj.com/content/early/2018/01/11/ejhpharm-2017-001392}, eprint = {https://ejhp.bmj.com/content/early/2018/01/11/ejhpharm-2017-001392.full.pdf}, journal = {European Journal of Hospital Pharmacy} }