Evaluation of Pharmacist-Initiated Discharge Medication Reconciliation and Patient Counseling Procedures in the Emergency Department

Among 81 patients, 42 (52%) patients were randomly assigned to the intervention group, and 39 (48%) patients to the control group. At day 30, The mean number of medication discrepancies was significantly lower in the intervention group (p = .000). 63.6% of patients in the control group had at least one medication discrepancy identified. The most common type of discrepancy was drug commission and drug omission; they mostly occurred in the control group and this difference was statistically significant. 10 patients from the control group reported concerns on day 30, as compared to none from the intervention group (p = 0.003). Overall, patients from the intervention group had a better understanding of their medications that was statistically significant.