Medication reconciliation as warranty of improvement in patient care

Objetive: To compare the degree of medication reconciliation(MR)during hospitalization and at discharge between the Units of Pneumology and Pharmacy after establishing a circuit of action between the two Units,in order to resolve the discrepancies and contribute to improve patient adherence Methods: A prospective,cross-sectional study. Polymedicated patients admitted in the Unit of Pneumology between May-December 2012 and May-December 2013 were included. The Physician communicates the finalization of the discharge report. The Pharmacist communicates any discrepancies,gives a medication report and provides the patient the drugs of limited duration.The results of the two series were studied by comparing the frequency of the discrepancies (omissions,dosage or frequency differences,incomplete prescriptions,wrong prescriptions and initiation of drugs unjustified). Discrepancy: any difference between drugs taken in hospital and at discharge.Statistical methods:Descriptive and univariate analysis Results: In 2012, 134 patients were reconciled out of 264 discharged (50.8%).In 2013, 219 out of 348 discharged (62.9%),p=0.003.The total nodiscrepancies in 2012 was 134, and in 2013 was 67 View this table: Conclusions: The nopatients reconciled in 2013 has increased significantly.In addition %patients with discrepancies has decreased and also the nodiscrepancies per patient.This indicates a favourable evolution in the MR process, which has allowed the rational use of drugs in clinical terms.