Original Article

Implementation and Assessment of a Pharmacy-Led Inpatient Transitions of Care Program

Objective: To evaluate pharmacist involvement in the inpatient transition of care (TOC) process for patients hospitalized with type 1 diabetes mellitus, type 2 diabetes mellitus, or chronic obstructive pulmonary disease. Methods: A pharmacist screened patients admitted with one or more of the qualifying conditions within 48 hours of admission to…

Posted in: medication reconciliation 2 transition of care 4

Case Report

Pharmacist's Role in an Interdisciplinary Falls Clinic

Falls are caused by many factors in older patients. Medications have been shown to be a risk factor for falls, and studies have shown that patients taking more than five total medications may have a two-fold increased risk of impaired balance. A more recent model suggests only medications with sedating…

Posted in: elderly 20 fall risk 3 falls 3 medication reconciliation 2 older adult 4 pharmacist 4
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