Medication history reconciliation by clinical pharmacists in elderly inpatients admitted from home or a nursing home.
Ann Pharmacother 44(10):1596-603 (2010) PMID 20736427
Accurate medication histories at hospital admission are an important element of medication safety. Discrepancies may have clinically significant consequences, especially in the elderly population.
DOI: 10.1345/aph.1P192
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