Medication history reconciliation by clinical pharmacists in elderly inpatients admitted from home or a nursing home.
Ann Pharmacother. 2010 Oct;44(10):1596-603
Authors: Steurbaut S, Leemans L, Leysen T, De Baere E, Cornu P, Mets T, Dupont AG
Accurate medication histories at hospital admission are an important element of medication safety. Discrepancies may have clinically significant consequences, especially in the elderly population.
PMID: 20736427 [PubMed - indexed for MEDLINE]