Medication Reconciliation Process in Clinical Practice

This study looks at how reviewing and confirming a patient's medications during a hospital stay can help reduce problems after they go home. It focuses on patients aged 75 and older who were admitted to a short-stay geriatric unit. The researchers compared three groups: * Patients who did not receive any medication reconciliation (CTM), * Patients who received CTM only at hospital admission, * Patients who received CTM at both admission and discharge. The goal was to see if this process could lower the number of hospital readmissions, emergency room visits, and deaths within six months after discharge. The study is based on real data from a hospital in 2019 and was conducted by pharmacists and doctors working together.