Pharmacist-led medication reconciliation in emergency hospital services in Brazil: A scoping review

Objective: This scoping review aimed to map the evidence of phormacist-led medication reconciliation in hospital emergency services in Brazil. Method: We performed a scoping review by searching electronic databases LILACS, Pubmed, Embase, CINAHL, Scopus, W,b of Science, Clinical trials, REBEC e Cochrane and conducting a manual search to identify studies published up to 20 October 2021. Studies that addressed pharmacist-led medication reconciliation in hospital emergency services in Brazil, regardless of clinical conditions, and outcomes evaluated, were included. Results: A total of 168 studies were retrieved, with three matching the inclusion criteria. Most studies performed pharmacist-led medication reconciliation at emergency department admissions, but it was not the primary pharmaceutical attribution in this setting. Medication errors were identified during the medication reconciliation process, being drug omission the most reported. Studies did not describe the concerns in collecting the best medication history from patients the humanistic, economic, and clinical outcomes of pharmacist-led medication reconciliation. Conclusions: This scoping review revealed the lack of evidence about the pharmacist-led medication reconciliation process in the emergency setting in Brazil. The findings suggest the need for future studies in this context.