Background: Acutely-ill and multimorbid patients are frequently exposed to unintended medication errors after admission and their impacts on patient safety are profound. Designated ward-pharmacists as team members of our Hospital Medicine Center reconcile medications of hospitalized patients by identifying discrepancies in patients’ current medications and the medication used in acute care in emergency departments or […]

Case Presentation: An 81‐year‐old man presented with a 4‐ to 5‐day history of increasing confusion, combativeness, and personality changes. There were no associated fevers or chills. Patient denied photophobia, neck stiffness, headache, trauma, or recent intoxication. On presentation he was afebrile and had no focal neurological signs, nuchal rigidity, otorrhea, or rhinorrhea. His lung exam […]