Discharge transitions are fraught with potential medical errors and adverse events, one of which is unintentional medication discontinuation. In this large cohort of discharged patients, inadvertent discontinuation of a statin or anti-platelet/anti-coagulant increased the risk of death, ED visit, or readmission (at 1 year follow up) by 7% and 10% respectively. Discontinuation rates were higher among patients who were in an ICU versus those that were not (indicating they had more than 2 care transitions). Methodical medication reconciliation is vital during care transitions, to reduce inadvertent medication discontinuation (abstract)
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