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Patients are admitted at night on eight medicines, and somebody has to write down what those medicines actually are: the drug, the dose, how often, and whether the patient has really been taking it. The list gets assembled from a referral letter, from what the patient remembers, and sometimes from a bag of boxes brought from home. What ends up on the admission chart is frequently not what was being taken: a dose halved, a tablet missing, one stopped months ago back on the list. Medication reconciliation is the formal check of that list against every available source, and in many hospitals a clinical pharmacist does it. It is done widely and measured inconsistently. Studies differ on which patients, on how soon after arrival the check happened, on what counts as an unintended discrepancy, and on whether anybody judged that it could have harmed the patient. So how much the practice actually reduces those errors is unsettled. This project reads those studies together and produces that number, with the definitions underneath it made visible.
Read up on medication reconciliation and on the ways an admission drug list goes wrong. Help with the search and the screening, pull out the discrepancy counts and the definition each study used, and write that part of the paper.
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