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If a medication was not incorporated within the nurse or physician-obtained medication PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/20035231 reconciliation list, either in whole or in part (eg, omission of dosage form, route, strength, or frequency). Any newly started medication(s) related to admission were excluded from this count. Additionally, students were responsible for reviewingMETHODSThis study was exempted by the Lahey Hospital Medical Center Institutional Review Board. During a 12-week period between May and July 2012, consecutive patients admitted to 1 of 4 inpatient internal medicine teams at the Lahey Hospital Medical Center, a 350-bed tertiary academic medical facility in Burlington, Massachusetts, were assessed for inclusion in this study. Patients were included if they were English-speaking, aged 18 years or older, had a primary care provider affiliated with our institution, and were admitted from a non-institutional place of residence within the United States. Patients were incorporated only if they were taking 7 or more medications at the time of admission, and/or had at least 1 of the following health conditions documented in their medical record: arrhythmia, asthma, coronary artery disease, chronic obstruction pulmonary disease, diabetes mellitus, drug/ alcohol abuse, end stage renal disease, gastrointestinal bleeding, heart failure, myocardial infarction, pancreatitis, stroke, syncope, and/or venous thromboembolism.American Journal of Pharmaceutical Education 2014; 78 (2) Article 34.the complete medication list, including newly initiated medications, and for making appropriate recommendations after consultation with their preceptor. Drugrelated problems, or interventions, were categorized using the ranking system developed by Hatoum and colleagues.9 A one-way analysis of variance (ANOVA) was used to identify significant differences in the number of medications identified by nurses, physicians, and student pharmacists. A p value of less than or equal to 0.05 was considered significant. Statistical analysis was performed using SPSS, version 18 (SPSS Inc, Chicago, IL). 57.6 . Ninety percent of all discrepancies were related to complete medication omission or omission of dosage form, strength, and/or frequency (Table 2). Student pharmacists identified 532 prescription and nonprescription medications during medication reconciliation compared with 355 identified by nurses and 368 identified by physicians. Student pharmacists also identified significantly more medications per patient (10.2) as compared with nurses (6.8) and physicians (7.1), p=0.006. Of the medications identified by student pharmacists that were not identified by nurses and/or physicians, 68 (N=105) were nonprescription medications. A total of 28 interventions in 18 patients were recorded during the study period. Table 3 delineates the results of the student interventions. More than 50 of the student interventions were significant, meaning that they would “bring care to a more acceptable and appropriate level” as previously defined by Hatoum and colleagues.Proanthocyanidin B2 site RESULTSOver the course of two 6-week APPEs, 8 student pharmacists participated in this study. During the 3-month time period, 86 patients were assessed, and 52 met all inclusion criteria. The most common reason for exclusion from the study were: patients taking less than 7 medications prior to admission, 43 (50 ); admission from an institutional place of residence, 20 (23.3 ); and/or admission lasting less than 24 hours, 18 (20.9 ). Table 1 details the patie.

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