Stopped: Due to COVID 19 declaration in Slovenia for the second time and subsequent reorganization of intervention ward
Background: Transitions of care often lead to medication errors and unnecessary healthcare utilisation. It has been repeatedly shown that medication reconciliation can at least partially reduce this risk. Objective: The aim of this prospective pragmatic trial was to evaluate the effectiveness of pharmacist-led medication reconciliation offered to medical patients as part of routine clinical practise. The main questions to be answered were: * the effectiveness of pharmacist-led medication reconciliation on medication discrepancies at discharge and 30 days after discharge * the effectiveness of pharmacist-led medication reconciliation on healthcare utilisation within 30 days after discharge. Participants in the intervention group were offered the following: * medication reconciliation on admission * medication reconciliation on discharge, coupled with patient counselling, provided by clinical pharmacists. Participants in the control group were offered standard care.
Age range
18 Years
Sex
ALL
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A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
Unplanned healthcare utilisation within 30 days after discharge
Timeframe: within 30 (±5) days after hospital discharge