From: Physicians’ perspectives on clinical pharmacy services in Northern Sweden: a qualitative study
When | How often | Activity |
---|---|---|
At admission | Once for each patient | Admission medication reconciliation |
During hospital stay | As long as the patient is still in the hospital ward | Medication review and monitoring |
In some wards, depending on need and time | Patient counselling | |
When clinical relevant DRPs are found | Discussion with responsibly physician (for example participating in ward rounds) | |
At discharge | Occasionally | Discharge medication reconciliation |