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PLoS One. 2018 Mar 28;13(3):e0193510. doi: 10.1371/journal.pone.0193510. eCollection 2018.

The impact of pharmacists-led medicines reconciliation on healthcare outcomes in secondary care: A systematic review and meta-analysis of randomized controlled trials.

Author information

1
Department of Clinical and Pharmacy Practice, College of Pharmacy, Umm-Al-Qura University, Makkah, Saudi Arabia.
2
Warwick Medical School, Gibbet Hill Campus, University of Warwick, Coventry, United Kingdom.
3
Department of Clinical and Pharmacy Practice, School of Clinical Pharmacy, University of Dammam, Dammam, Saudi Arabia.

Abstract

BACKGROUND:

Adverse drug events (ADEs) impose a major clinical and cost burden on acute hospital services. It has been reported that medicines reconciliation provided by pharmacists is effective in minimizing the chances of hospital admissions related to adverse drug events.

OBJECTIVE:

To update the previous assessment of pharmacist-led medication reconciliation by restricting the review to randomized controlled trials (RCTs) only.

METHODS:

Six major online databases were sifted up to 30 December 2016, without inception date (Embase, Medline Ovid, PubMed, BioMed Central, Web of Science and Scopus) to assess the effect of pharmacist-led interventions on medication discrepancies, preventable adverse drug events, potential adverse drug events and healthcare utilization. The Cochrane tool was applied to evaluate the chances of bias. Meta-analysis was carried out using a random effects model.

RESULTS:

From 720 articles identified on initial searching, 18 RCTs (6,038 patients) were included. The quality of the included studies was variable. Pharmacists-led interventions led to an important decrease in favour of the intervention group, with a pooled risk ratio of 42% RR 0.58 (95% CI 0.49 to 0.67) P<0.00001 in medication discrepancy. Reductions in healthcare utilization by 22% RR 0.78 (95% CI 0.61 to 1.00) P = 0.05, potential ADEs by10% RR 0.90 (95% CI 0.78 to 1.03) P = 0.65 and preventable ADEs by 27% RR 0.73 (0.22 to 2.40) P = 0.60 were not considerable.

CONCLUSION:

Pharmacists-led interventions were effective in reducing medication discrepancies. However, these interventions did not lead to a significant reduction in potential and preventable ADEs and healthcare utilization.

PMID:
29590146
PMCID:
PMC5873985
DOI:
10.1371/journal.pone.0193510
[Indexed for MEDLINE]
Free PMC Article

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