Deirdre T. Criddle, BPharm, Grad Dip Pharm
Potential Conflicts of Interest: None disclosed.
Criddle DT. Effect of a Pharmacist Intervention. Ann Intern Med. 2013;158:137. doi: 10.7326/0003-4819-158-2-201301150-00013
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Published: Ann Intern Med. 2013;158(2):137.
TO THE EDITOR:
Kripalani and colleagues (1) provide important insights into improving the management of patients at transitions of care. Despite patients receiving best-practice care from pharmacists in medication education (including confirmation of understanding), tools to assist adherence, and telephone follow-up after discharge, medication errors were not reduced. This unexpected result challenges our perception of the problem. Perhaps the answer lies in a reexamination of contextual factors that are not immediately obvious. In this respect, it is important to understand the effect that a sentinel event, such as a hospital admission for the acute coronary syndrome or heart failure, has on patients and their capacity to comprehend and retain information provided about their medications during the hospital stay.
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