Abstract:

Seamless care is growing more and more important. In some countries it even has become a performance indicator in their patient safety management system. At the moment of a hospital admission there is a need for medication reconciliation, whereas the discharge medication profile also needs high attention from the caregivers. The stakeholders in this process are physicians, nurses, pharmacists and patients. Several studies show that on admission and discharge almost 50% of the medication profiles show 1 or more discrepancies between inhospital and preadmission used medication. This seminar will give sources of medication errors and will give guidelines how to start a pharmacy service on admission and discharge in order to minimise medication errors and increase patient safety.

Teaching Goals:

The program is designed to:

• advance hospital pharmacists knowledge how to improve patient safety
• describe the role and action of the hospital pharmacists in the process of seamless care
• focus on specific aspects of medication reconciliation and involving the patient in medication reconciliation

Learning Objectives:

• Knows what seamless care means
• Has got insight in the critical points in the process of hospital admission and discharge
• Knows some guidelines for implementation of reconciliation of current medication on admission and discharge
• Has insight in the return on investment of medication reconciliation, patient satisfaction