SPECIAL REPORT

Pharmacist pre- and post-discharge medication review equally important

Pharmacists who contacted high-risk patients within 72 hours of discharge from Massachusetts General Hospital, Boston, found more than half of the patients had medication-related issues. In a different group of high-risk patients who had received inpatient interventions, 35% of patients were found to have issues after a pharmacist reviewed their medications just prior to discharge, according to Laura Carr, PharmD.

"The most common medication-related issue that we found was difficulty following proper dosing instructions, which frequently occurred with anticoagulants." —Laura Carr, PharmD

Other Coverage

• Pharmacist follow-up can reduce readmission rates of lower-risk Medicare patients

• The pharmacists’ role in transitions of care

• 21 ways to boost medication adherence

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