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when they transfer between care providers

Keeping patients safe when they transfer between care providers getting the medicines rightFinal reportJune 20122007-RPS- transfer of Care 113/06/2012 15:102007-RPS- transfer of Care 213/06/2012 15:10 Keeping patients safe getting the medicines right: finaL repOrt 31. IntroductionThere is a substantial body of evidence that shows when patients move between care providers the risk of miscommunication and unintended changes to medicines remain a significant problem. In 2010 an audit across 50 acute trusts involving over 8600 patients found that when medicines were checked after admission most patients had at least one omitted drug or wrong dose1.

prescribed at discharge are new medicines5. 60% of patients have 3 or more medicines changed during their hospital stay6. Adverse drug events occur in up to 20% of patients after discharge and it is estimated that 11-22% of hospitalisations for exacerbations of chronic disease are a direct result of non-compliance with medication7.

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