Effect of Medication Reconciliation on Medication Costs After Hospital Discharge in Relation to Hospital Pharmacy Labor Costs

F Karapinar-Carkit, SD Borgsteede, J Zoer, TCG (Toine) Egberts, Patricia Bemt, M van Tulder

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BACKGROUND: Medication reconciliation aims to correct discrepancies in medication use between health care settings and to check the quality of pharmacotherapy to improve effectiveness and safety. In addition, medication reconciliation might also reduce costs. OBJECTIVE: To evaluate the effect of medication reconciliation on medication costs after hospital discharge in relation to hospital pharmacy labor costs. METHODS: A prospective observational study was performed. Patients discharged from the pulmonology department were included. A pharmacy team assessed medication errors prevented by medication reconciliation. Interventions were classified into 3 categories: correcting hospital formulary induced medication changes (eg, reinstating less costly generic drugs used before admission), optimizing pharmacotherapy (eg, discontinuing unnecessary laxative), and eliminating discrepancies (eg, restarting omit RESULTS: Two hundred sixty-two patients were included. Correcting hospital formulary changes saved 1.63/patient (exchange rate: EUR 1 = USD 1.3443) in medication costs at 1 month after discharge and (sic)9.79 at 6 months. Optimizing pharmacotherapy saved (sic)20.13/patient in medication costs at 1 month and 86.86 at 6 months. The associated labor costs for performing medication reconciliation were 41.04/patient. Medication cost savings from correcting hospital formulary induced changes and optim CONCLUSIONS: Preventing medication errors through medication reconciliation results in higher benefits than the costs related to the net time investment.
Original languageUndefined/Unknown
Pages (from-to)329-338
Number of pages10
JournalAnnals of Pharmacotherapy
Issue number3
Publication statusPublished - 2012

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