Evidence map›Paper›PMID 39644375›Full record

ArticleInternational journal of clinical pharmacy2025

Medication reconciliation and seamless care led by clinical pharmacists in Slovenia: a national reimbursed program ensuring safe and effective transition of care.

Matej Stuhec

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Article in International journal of clinical pharmacy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

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18citing papers in PubMed
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1 · What the graph read from it

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.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

1 author.

Matej StuhecFaculty of Medicine Maribor, University of Maribor, Maribor, Slovenia. matejstuhec@gmail.com.ORCID http://orcid.org/0000-0001-5909-6930

Funding

Javna Agencija za Raziskovalno Dejavnost RS J3-50127
6 · The paper itself

Abstract

backgroundMedication errors frequently happen during patients' transitions between different healthcare settings. Medication reconciliation, provided by various healthcare specialists, could help reduce these errors. However, clinical pharmacists do not lead this service nationally in most countries.

aimThis paper describes the development, implementation, and national evaluation of medication reconciliation in Slovenia as part of seamless care.

settingAll hospitals and community pharmacies in Slovenia. DEVELOPMENT: The initial step involved the successful development of legislation in Slovenia. This process, termed 'seamless care,' was defined as a pharmaceutical service and five different steps of this process were developed: medication reconciliation upon admission (including the best possible medication history), during discharge, personal medication cards, and medication dispensing. A standard operational procedure was established in 2023 to guide these practices. IMPLEMENTATION: A critical milestone in the implementation process was establishing a successful reimbursement scheme in 2023. Hospitals and community pharmacies implemented this service following successful reimbursement. Pharmacy managers and heads of hospital pharmacy departments were responsible for overseeing its implementation in hospitals and community pharmacies. The Health Insurance Institute of Slovenia is measuring the implementation. EVALUATION: Trials were conducted in various Slovenian hospitals to evaluate this service's effectiveness, appropriateness, and adoption before its full implementation (reduced medication-related problems were observed). The Health Insurance Institute of Slovenia is currently evaluating the sustainability of the service and providing feedback to the providers.

conclusionSlovenia is the first country in this part of Europe to fully reimburse and implement medication reconciliation as a pharmaceutical service. This practice holds promise for exporting to other countries.

Indexed as

Continuity of Patient CareMedication ErrorsMedication ReconciliationPharmacistsPharmacy Service, HospitalReimbursement MechanismsHumansProfessional RoleSloveniaClinical pharmacyCommunity pharmaciesHospitalsMedication errorsMedication reconciliationSlovenia

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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 OpenQuestion graph.