Date of Award

5-2026

Document Type

Project

Degree Name

Master of Science in Health Services Administration

Department

Health Science and Human Ecology

First Reader/Committee Chair

Okpala, Paulchris

Abstract

One of the ancient problems of the healthcare systems in the world is hospital readmission, which leads to increased costs, morbidity, and an unwarranted load on medical resources. One evidence-based intervention that can address this problem and improve medication accuracy and continuity of care is pharmacist-led medication reconciliation at discharge. The proposed project will identify the impact of pharmacist involvement in discharge pharmacy reconciliation on patient outcomes and readmission. The present paper is quantitative, descriptive study, where retrospective and prospective information was used to estimate medication discrepancies, readmission, and patient compliance in adult inpatients. The evidence substantiates pharmacist-led medication reconciliation as superior in decreasing the frequency of medication errors and Thirty-day readmissions, especially among elderly patients with multiple chronic conditions. Pharmacist involvement in discharge care increases medication safety, patient education, and further increases other healthcare quality metrics, including continuity of care and cost-effectiveness. These findings confirm the efficacy of the intervention by the pharmacist as an integral element of the multidisciplinary care to improve patient safety and minimize avoidable readmissions.

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