<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1885-642X</journal-id>
<journal-title><![CDATA[Pharmacy Practice (Granada)]]></journal-title>
<abbrev-journal-title><![CDATA[Pharmacy Pract (Granada)]]></abbrev-journal-title>
<issn>1885-642X</issn>
<publisher>
<publisher-name><![CDATA[Centro de Investigaciones y Publicaciones Farmacéuticas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1885-642X2021000300015</article-id>
<article-id pub-id-type="doi">10.18549/pharmpract.2021.3.2471</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Pharmacy student-assisted medication reconciliation: Number and types of medication discrepancies identified by pharmacy students]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Deep]]></surname>
<given-names><![CDATA[Louise]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Schneider]]></surname>
<given-names><![CDATA[Carl R]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moles]]></surname>
<given-names><![CDATA[Rebekah]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Patanwala]]></surname>
<given-names><![CDATA[Asad E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Do]]></surname>
<given-names><![CDATA[Linda L]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Burke]]></surname>
<given-names><![CDATA[Rosemary]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Penm]]></surname>
<given-names><![CDATA[Jonathan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Royal Prince Alfred Hospital Department of Pharmacy ]]></institution>
<addr-line><![CDATA[Camperdown NSW]]></addr-line>
<country>Australia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,University of Sydney Faculty of Medicine and Health School of Pharmacy]]></institution>
<addr-line><![CDATA[Sydney NSW]]></addr-line>
<country>Australia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,University of Sydney Faculty of Medicine and Health School of Pharmacy]]></institution>
<addr-line><![CDATA[Sydney NSW]]></addr-line>
<country>Australia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,University of Sydney Faculty of Medicine and Health School of Pharmacy]]></institution>
<addr-line><![CDATA[Sydney NSW]]></addr-line>
<country>Australia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,University of Sydney Faculty of Medicine and Health School of Pharmacy]]></institution>
<addr-line><![CDATA[Sydney NSW]]></addr-line>
<country>Australia</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Sydney Local Health District  ]]></institution>
<addr-line><![CDATA[Sydney NSW]]></addr-line>
<country>Australia</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,University of Sydney Faculty of Medicine and Health School of Pharmacy]]></institution>
<addr-line><![CDATA[Sydney NSW]]></addr-line>
<country>Australia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<volume>19</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1885-642X2021000300015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1885-642X2021000300015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1885-642X2021000300015&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[ Background: Medication reconciliation aims to prevent unintentional medication discrepancies that can result in patient harm at transitions of care. Pharmacist-led medication reconciliation has clear benefits, however workforce limitations can be a barrier to providing this service. Pharmacy students are a potential workforce solution.  Objective: To evaluate the number and type of medication discrepancies identified by pharmacy students.  Methods: Fourth year pharmacy students completed best possible medication histories and identified discrepancies with prescribed medications for patients admitted to hospital. A retrospective audit was conducted to determine the number and type of medication discrepancies identified by pharmacy students, types of patients and medicines involved in discrepancies.  Results: There were 294 patients included in the study. Overall, 72% (n=212/294) had medication discrepancies, the most common type being drug omission. A total of 645 discrepancies were identified, which was a median of three per patient. Patients with discrepancies were older than patients without discrepancies with a median (IQR) age of 74 (65-84) vs 68 (53-77) years (p=0.001). They also took more medicines with a median (IQR) number of 9 (6-3) vs 7 (2-10) medicines per patient (p&lt;0.001). The most common types of medicines involved were those related to the alimentary tract and cardiovascular system.  Conclusions: Pharmacy students identified medication discrepancies in over 70% of hospital inpatients, categorised primarily as drug omission. Pharmacy students can provide a beneficial service to the hospital and contribute to improved patient safety by assisting pharmacists with medication reconciliation.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Medication Reconciliation]]></kwd>
<kwd lng="en"><![CDATA[Students, Pharmacy]]></kwd>
<kwd lng="en"><![CDATA[Professional Competence]]></kwd>
<kwd lng="en"><![CDATA[Pharmaceutical Services]]></kwd>
<kwd lng="en"><![CDATA[Medical History Taking]]></kwd>
<kwd lng="en"><![CDATA[Hospitalization]]></kwd>
<kwd lng="en"><![CDATA[Pharmacists]]></kwd>
<kwd lng="en"><![CDATA[Workforce]]></kwd>
<kwd lng="en"><![CDATA[Cross-Sectional Studies]]></kwd>
<kwd lng="en"><![CDATA[Australia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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