Impact of pharmacy-led medication reconciliation on admission to internal medicine service: experience in two tertiary care teaching hospitals.
Lamis R KaraouiNibal ChamounJessica FakhirWael Abi GhanemSarah DroubiAbdul Rahman Diab MarzoukNabila DroubiHiba MasriElsy RamiaPublished in: BMC health services research (2019)
Pharmacy-led medication reconciliation upon admission, along with student pharmacist involvement and physician communication can reduce unintended discrepancies and improve medication safety and patient outcomes.