At the hospital, transitions of care (admission, internal transfersand hospital discharge) are susceptible to several medicationerrors (Cornish et al., 2005; Lehnbom et al., 2014; Moore et al.,2003). On admission, 22–72.4% of patients may experience discrepanciesin their pharmacotherapy (Huynh et al., 2013). Similarly,62% of patients had omitted medications at the time ofinternal transfer within a hospital (Lee et al., 2015). Likewise, otherstudies reveal medication errors at hospital discharge (Kripalaniet al., 2007; Liu et al., 2018).
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