Medication reconciliation on discharge in a tertiary care Riyadh Hospital: An observational study ( vol 1, e0265042 , 2022 )

Summary: This study assessed the frequency and characteristics of medication discrepancies identified by pharmacists during discharge medication reconciliation. The findings showed that one out of four cardiac patients had at least one medication discrepancy upon discharge. The number of medications taken was found to be related to the occurrence of discrepancies.