• 1
    Noble DW, Webster J. Interrupting drug therapy in the perioperative period. Drug Safety 2002; 25: 48995.
  • 2
    Kennedy JM, Van Rij AM, Spears GF, Pettigrew RA, Tucker IG. Polypharmacy in a general surgical unit and consequences of drug withdrawal. British Journal of Clinical Pharmacology 2000; 49: 35362.
  • 3
    Coleman EA, Berenson RA. Lost in transition: Challenges and opportunities for improving the quality of transitional care. Annals of Internal Medicine 2004; 140: 5336.
  • 4
    Gandhi TK. Fumbled handoffs: One dropped ball after another. Annals of Internal Medicine 2005; 142: 3528.
  • 5
    Coleman EA. Falling through the cracks: Challenges and opportunities for improving transitional care for patients with continuous complex care needs. Journal of the American Geriatrics Society 2003; 51: 54955.
  • 6
    Omori DM, Potyk RP, Kroenke K. The adverse effects of hospitalization on drug regimens. Archives of Internal Medicine 1991; 151: 15624.
  • 7
    Shammash JB, Trost JC, Gold JM, Berlin JA, Golden MA, Kimmel SE. Perioperative β-blocker withdrawal and mortality in vascular surgery patients. American Heart Journal 2001; 141: 14853.
  • 8
    Pronovost P, Weast B, Schwarz M, et al. Medication reconciliation: a practical tool to reduce the risk of medication errors. Journal of Critical Care 2003; 18: 2015.
  • 9
    Ferner RE, Aronson JK. Medication errors, worse than a crime. Lancet 2000; 355: 9478.
  • 10
    Moore C, Wisnevsky J, Williams S, McGinn T. Medical errors related to discontinuity of care from an inpatient to an outpatient setting. Journal of General Internal Medicine 2003; 18: 64651.
  • 11
    Rogers G, Alper E, Brunelle D, et al. Reconciling medications at admission: safe practice recommendations and implementation strategies. Joint Commission Journal on Quality and Patient Safety 2006; 32: 3750.
  • 12
    Leape LL, Cullen DJ, Clapp MD, et al. Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. Journal of the American Medical Association 1999; 282: 26770.
  • 13
    Kane SL, Weber RJ, Dasta JF. The impact of critical care pharmacists on enhancing patient outcomes. Intensive Care Medicine 2003; 29: 6918.
  • 14
    Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. British Medical Journal 2000; 320: 7914.