Whether it’s admission into a hospital, discharge from the hospital, or admission into a long-term care facility, patients are at risk of unintentional medication discrepancies that occur when there is a change in the medications they are taking that was not intended by the original prescriber.
These discrepancies can result in drug therapy problems or even adverse drug events (ADE).
In Canada, up to 50% of patients experience unintentional medication discrepancies upon hospital admission and at least 40%Many cases of medication error can be attributed to a lack of information pharmacists receive about a patient’s medication history. “Historically, hospital and community pharmacists have worked in silos,” says John Papastergiou, pharmacist and owner at Shoppers Drug Mart and assistant professor at the Leslie Dan Faculty of Pharmacy , University of Toronto.
“Almost daily, community pharmacists are forced to make judgment calls on prescriptions from hospitals without a good understanding as to why the patient may be taking the medication.”