Pharmacists communicating medication changes at hospital discharge: a retrospective cohort study

Transition of care between healthcare settings is a recognised risk factor for medication‐related harm, and good communication between healthcare providers about medicines at these transition points has the potential to reduce that harm. This article discusses the role of pharmacists in transferring medication‐related information from hospital to primary care, contributing to compliance with national electronic discharge standards, and finds that cardiac medicines are the most frequently commented on.