ArticleGlobal journal on quality and safety in healthcare2026
Impact of Clinical Pharmacy Residents on Medication Reconciliation upon Admission in a Tertiary Care Hospital.
Article in Global journal on quality and safety in healthcare, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Medication errors represent a global issue that can adversely affect patients and healthcare systems. Inappropriate medication reconciliation (MedRec) is the leading cause of prescribing errors, with over 40% of such incidents. Evidence shows that clinical pharmacy resident-run MedRec programs can identify and resolve unintentional medication discrepancies (UMDs) in 60.2% of patients, demonstrating these services' potential impact on patient care. This study evaluated clinical pharmacy residents' impact on MedRec during their clinical rotations in a tertiary care hospital. Methods: This retrospective, observational, single-center study was conducted from November 2021 to the end of March 2022 by four clinical pharmacy residents on adult patients aged 18 years or older who were admitted to the hospital within 48 hours. Data were obtained by using a MedRec form and the hospital's electronic medical record system during a 5-month period. The primary outcome was to measure clinical pharmacy residents' impact on the MedRec service by identifying the number and proportion of UMDs observed among admitted patients during residents' clinical rotations. Results: In total, 205 patients were included, with 193 UMDs identified. Most of the discrepancies were omissions (119 [62%]), followed by non-compliance (20 [11%]), commission (19 [9%]), and duplication (13 [7%]). Healthcare providers accepted 151 (86%) physician-directed interventions. Resumption of medication was the most common intervention, accounting for 66% of all interventions. Conclusion: Clinical pharmacy residents significantly contribute to improving medication safety by detecting and resolving UMDs during patient admission. Their involvement highlights the value of pharmacist-led MedRec and supports its integration as a core element of residency training to reduce adverse drug events and improve outcomes.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.