Pharmacy impact on medication reconciliation in the medical intensive care unit.

Objective: Pharmacy-driven medication history (MH) programs have been shown to reduce the number of serious or potentially life-threatening (S/PLT) medication discrepancies (MDs) in many settings, but not Intensive Care Units (ICUs).

Methods: MHs were repeated over a 6-week period. Demographics, number, and nature of MDs were documented.