From Medication Discrepancies to Safety

Patients with Chronic Kidney Disease and End-Stage Renal Disease often manage complex medication regimens that increase their risk of discrepancies, adverse drug events, and preventable clinical harm.

This quality-improvement case study examines a pharmacist-led medication reconciliation service embedded within a Chronic Care Management program at a large nephrology practice operating across seven clinics.

Over four months, clinical pharmacists reviewed 9,023 medications for 531 Medicare beneficiaries and identified 1,459 medication discrepancies, representing a 16.2% medication-level discrepancy rate. The program also achieved a Net Promoter Score of 82 and produced estimated cost avoidance ranging from $76,995 to $310,635.

Download the case study to learn how structurally integrating clinical pharmacists into nephrology care teams can improve medication accuracy, strengthen patient safety, increase patient trust, and reduce medication-related costs.