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Gaps in medicines reconciliation between primary and secondary care

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Review of: Shah C, Hough J, Jani Y. Medicines reconciliation in primary care: a study evaluating the quality of medication-related information provided on discharge from secondary care. Eur J Hosp Pharm 2018. doi:10.1136/ejhpharm-2018-001613 [Epub ahead of print 26 Sept 2018].

​Key points

  • Medicine-related information on hospital discharge summaries was not always complete and not always acted on in a timely manner in primary care.

  • Information about allergy status and the reason for starting, changing or stopping medicines was not always documented.

  • Changes were not acted on within 7 days of receiving the discharge information for 12.5% of patients.

An analysis of hospital discharge summaries and primary care medical records highlighted that a number of changes to medicines made while patients were in hospital were not fully communicated or actioned in general practice.


This study was designed as an audit and retrospective review of the quality of information …

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  • Contributors DTB Team.

  • Provenance and peer review Commissioned; internally peer reviewed.