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Related Experiment Video

Updated: Jun 11, 2026

Drug Repurposing Hypothesis Generation Using the "RE:fine Drugs" System
05:10

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Published on: December 11, 2016

Medication reconciliation in a community pharmacy setting.

Caroline M Johnson1, Todd R Marcy, Donald L Harrison

  • 1College of Pharmacy, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA. cjohnson.pharmd@hotmail.com

Journal of the American Pharmacists Association : Japha
|July 13, 2010
PubMed
Summary

Medication reconciliation in community pharmacies revealed an average of six discrepancies per patient, particularly concerning inactive medications. Patients using external prescribers had more errors, highlighting the need for improved outpatient medication management.

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Area of Science:

  • Pharmacy Practice
  • Patient Safety
  • Health Informatics

Background:

  • Medication discrepancies are common in healthcare settings.
  • Effective medication reconciliation is crucial for patient safety.
  • Understanding discrepancies in community pharmacies is vital for improving care.

Purpose of the Study:

  • To determine the types and frequency of medication discrepancies found during reconciliation in a community pharmacy.
  • To assess the correlation between electronic medical records (EMR) and pharmacy medication lists.
  • To examine the link between external prescribers/pharmacies and medication discrepancies.

Main Methods:

  • A cross-sectional study compared EMR medication lists with pharmacy fill history for 100 patients at the Family Medicine Pharmacy (FMP).
  • Discrepancies were categorized into six types, including therapeutic duplication and inactive medications.
  • Statistical analysis explored correlations and relationships with external healthcare utilization.

Main Results:

  • An average of six medication discrepancies per patient was identified.
  • The most common discrepancy type was inactive medications (41%).
  • Patients with non-FMC prescribers had significantly more discrepancies (P = 0.0264).

Conclusions:

  • Medication reconciliation is essential in outpatient settings due to observed discrepancies.
  • Further research should address the impact of these discrepancies and develop interventions.
  • Identifying high-risk patients for medication discrepancies is a key future direction.