Evaluation of the impact of pharmacist-led medication reconciliation intervention: a single centre pre-post study from Ethiopia

International Journal of Clinical Pharmacy
Alemayehu B MekonnenZenahbezu Abay

Abstract

Background The role of pharmacists in medication reconciliation (MedRec) is highly acknowledged in many developed nations. However, the impact of this strategy has not been well researched in low-and-middle-income countries, including Ethiopia. Objective The aim of this study was to investigate the impact of pharmacist-led MedRec intervention on the incidence of unintentional medication discrepancies in Ethiopia. Setting Emergency department in a tertiary care teaching hospital in Ethiopia. Method A single centre, prospective, pre-post study was conducted on adults (aged 18 years or over) that had been hospitalized for at least 24 h and were taking at least 2 home medications on admission. The intervention involved assignment of a pharmacist to an emergency care team so as to take the best possible medication history and reconcile this list with the current medications in use. Main outcome measure Incidence and potential clinical severity of unintentional medication discrepancies. Results 123 patients were included (pre-intervention, 49; post-intervention, 74). The proportion of patients with at least one unintended discrepancy was reduced from 59 to 10.5% after the intervention (p < 0.001). Similarly, the percentage of patient...Continue Reading

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Citations

Feb 14, 2021·Research in Social & Administrative Pharmacy : RSAP·Filipa Alves da CostaSotiris Antoniou
Mar 25, 2021·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Christian MbilinyiAutumn D Zuckerman

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