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Medication reconciliation during care transitions Keisei AKI 1 1Department of Hospital Pharmacy Nagasaki University Hospital pp.366-371
Published Date 2021/4/1
DOI https://doi.org/10.11477/mf.3102200867
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Patients in need of continuous care are at risk of discontinuity of care due to changes in the location of care and the medical staff. During care transitions, pharmacists are required to play the role of “medication reconciliation”, which is defined as confirming the exact medications before and after transitions of care and assessing the need for change, continuation or dosage adjustment. In the intensive care unit, there are many patients admitted emergently, often with disturbance of consciousness, leading to more frequent medication discrepancies. When discharging patients from the intensive care unit, pharmacists should amend the medications. Standardization of behavior, development of training and education are necessary to improve outcomes.


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電子版ISSN 2186-7852 印刷版ISSN 1883-4833 メディカル・サイエンス・インターナショナル

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