Delirium during acute illness in nursing home residents.

Objectives: To ascertain the incidence of delirium during acute illness in nursing home residents, describe the timing of delirium after acute illness onset, describe risk factors for delirium, and explore the relationship between delirium and complications of acute illness.

Design: Prospective observational cohort study.

Setting: Three nursing homes in metropolitan New York.

Pharmacist- versus physician-initiated admission medication reconciliation: impact on adverse drug events.

Background: Medication reconciliation (MR) has proven to be a problematic task for many hospitals to accomplish. It is important to know the clinical impact of physician- versus pharmacist-initiated MR in the resource-limited hospital environment.

Methods: This quasi-experimental study took place from December 2005 to February 2006 at an urban US Veterans Affairs hospital.