ArticleJournal of pharmaceutical policy and practice2021
Value of pharmacy services upon admission to an orthopedic surgery unit.
Article in Journal of pharmaceutical policy and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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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.
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Who cites it
7 citing papers in PubMed, 10 citations in OpenAlex.
- Pharmacist-led medication reconciliation upon discharge from the orthopedic surgery department.Scientific reports · 2026Trial
- Electronic pharmaceutical record for best possible medication history at preoperative evaluation to prevent postoperative adverse events: a quasi-experimental study.BMJ open quality · 2025Trial
- Impact of a pharmacist-led elective caesarean section pre-admission clinic on efficiency of pharmacist workflow and patient preparedness for post-operative discharge medication supply: a retrospective observational study.International journal of clinical pharmacy · 2025Observational
- Assessing medication discrepancies in pediatric patients: a cross-sectional feasibility study using the Medication Discrepancy Taxonomy (MedTax) in a pediatric ward.BMC pediatrics · 2025Article
- Medication use and potential drug-drug interactions in a general surgery clinic: A descriptive study.Heliyon · 2025Article
- Medication reconciliation by pharmacists for pre-admission patients improves patient safety.Journal of pharmaceutical health care and sciences · 2024Article
- The specialized competency framework for community pharmacists (SCF-CP) in Lebanon: validation and evaluation of the revised version.Journal of pharmaceutical policy and practice · 2023Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Lebanon, the role of the pharmacist remains underestimated in the medication reconciliation process, especially in surgical departments. This study aims to assess the impact of pharmacist-conducted medication reconciliation performed within 48 h of hospital admission to the orthopedic surgical department.
methodsThis was a prospective single-arm study conducted in a tertiary-care teaching hospital in Lebanon between October 2019 and April 2020. Participants were adult inpatients hospitalized for orthopedic surgeries with ≥ 1 outpatient medications. Properly trained pharmacy resident obtained the Best Possible Medication History (BPMH) and led the reconciliation process. The primary endpoint was the number of reconciliation errors (REs) identified. Descriptive statistics were used to report participants' responses and relevant findings. Linear regression was performed with the number of REs as a continuous dependent variable using backward method. Results were assumed to be significant when p was < 0.05.
resultsThe study included 100 patients with a mean age of 73.8 years, admitted for elective (54%) or emergency (46%) surgeries. Half of the study population had ≥ 5 home medications. The mean time for taking BPMH was around 8 min. A total of 110 REs were identified in 74 patient cases. The most common discrepancies consisted of medication omission (89.1%) and the most common medications involved were antihyperlipidemic agents. Twenty-four REs were judged as clinically significant, and four as serious. The most common interventions included the addition of a medication (71.9%). Most of the relayed interventions (84.5%) were accepted. The number of home medications was the only variable significantly associated with the number of REs (β 0.492; p < 0.001).
conclusionPharmacy-led medication reconciliation upon admission to orthopedic surgery department can reduce reconciliation errors and improve medication safety.
trial registrationRetrospectively registered in the Lebanon Clinical Trials Registry (LBCTR2020124680).
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Registered trials
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