Challenges in implementing pharmacist-led admission medication reconciliation in hospital practice: a qualitative study

Major barriers to implementing pharmacist-led admission MedRec included time constraints, unclear prioritization, and inadequate feedback mechanisms. While pharmacists recognized the value of admission MedRec, it was frequently deprioritized during routine practice. Using the PRECEDE-PROCEED model facilitated a structured assessment of individual and contextual determinants. These findings provide practical direction for developing targeted strategies to support and sustain admission MedRec implementation in hospital settings.