Medication reconciliation in psychiatric hospitals: some reflections

Medicines Management Collection
Journal Of Pharmacy Practice And Research
Publication date:
01 February 2017


Medication errors are one of the most common causes of harm in hospitalised patients, and these errors are often due to medication discrepancies at care transitions. Psychiatric hospitals have various characteristics that make medication reconciliation particularly challenging, such as: the length and number of admissions; the high number of care transitions; the difficulty of conducting a clinical interview with patients; the characteristics of psychoactive drugs; and segmentation in healthcare. This paper presents a series of real cases of medication discrepancies detected in daily clinical practice in a pharmacy unit in Spain in order to illustrate the factors that aggravate the problem in psychiatric hospitals.