Background: In medical care for older patients, the presence of potentially inappropriate medications (PIMs) is associated with increased adverse outcomes [1, 2]. A wide range of medications with anticholinergic properties affects cognitive states of older patients have been regarded as PIMs [1, 3]. We purposed to assess clinical impact of anticholinergic cognitive burden on clinical […]

Background: Obtaining the Best Possible Medication History (BPMH) is the protocolized gold standard in obtaining medication histories and well known to decrease the total number of medication errors during transitions in care. Trained technicians require an average of 15-30 minutes to collect a BPMH [2]. Our facility conducted a categorical analysis and within subject study […]

Background: Timely and efficient communication between pharmacists and physician providers in the hospital setting is integral to patient care. Inpatient care involves discussions regarding medication dosing, timing, contraindications, side-effect surveillance, and medication reconciliation during admission and discharge, often requiring pharmacy consultation. The current system of communication in our institution relies on electronic pages to be […]