In this large prospective cohort, nurses gathered a home medication list, and compared it to ordered meds, at admission and discharge. Discrepancies were brought to the attention of the prescriber. The nurses found an unintentional discrepancy in 40% of patients, over half of which were judged as a potential harm scale of 2-3. Based on this, they estimate it would cost ~$113 to reduce 1 harmful discrepancy (abstract)
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