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The impact of pharmacists-led medicines reconciliation on healthcare outcomes in secondary care: A systematic review and meta-analysis of randomized controlled trials

Author

Listed:
  • Ejaz Cheema
  • Farah Kais Alhomoud
  • Amnah Shams AL-Deen Kinsara
  • Jomanah Alsiddik
  • Marwah Hassan Barnawi
  • Morooj Abdullah Al-Muwallad
  • Shatha Abdulbaset Abed
  • Mahmoud E Elrggal
  • Mahmoud M A Mohamed

Abstract

Background: Adverse drug events (ADEs) impose a major clinical and cost burden on acute hospital services. It has been reported that medicines reconciliation provided by pharmacists is effective in minimizing the chances of hospital admissions related to adverse drug events. Objective: To update the previous assessment of pharmacist-led medication reconciliation by restricting the review to randomized controlled trials (RCTs) only. Methods: Six major online databases were sifted up to 30 December 2016, without inception date (Embase, Medline Ovid, PubMed, BioMed Central, Web of Science and Scopus) to assess the effect of pharmacist-led interventions on medication discrepancies, preventable adverse drug events, potential adverse drug events and healthcare utilization. The Cochrane tool was applied to evaluate the chances of bias. Meta-analysis was carried out using a random effects model. Results: From 720 articles identified on initial searching, 18 RCTs (6,038 patients) were included. The quality of the included studies was variable. Pharmacists-led interventions led to an important decrease in favour of the intervention group, with a pooled risk ratio of 42% RR 0.58 (95% CI 0.49 to 0.67) P

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  • Ejaz Cheema & Farah Kais Alhomoud & Amnah Shams AL-Deen Kinsara & Jomanah Alsiddik & Marwah Hassan Barnawi & Morooj Abdullah Al-Muwallad & Shatha Abdulbaset Abed & Mahmoud E Elrggal & Mahmoud M A Moha, 2018. "The impact of pharmacists-led medicines reconciliation on healthcare outcomes in secondary care: A systematic review and meta-analysis of randomized controlled trials," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-14, March.
    • Handle: RePEc:plo:pone00:0193510
    DOI: 10.1371/journal.pone.0193510
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    Cited by:

    1. van Schalkwyk, May CI & Bourek, Aleš & Kringos, Dionne Sofia & Siciliani, Luigi & Barry, Margaret M. & De Maeseneer, Jan & McKee, Martin, 2020. "The best person (or machine) for the job: Rethinking task shifting in healthcare," Health Policy, Elsevier, vol. 124(12), pages 1379-1386.

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