Humans 1 Medication Reconciliation 1 Patient Discharge 1 Patient Readmission Pharmacists 1 Pharmacy Service, Hospital 1 Professional Role Students 1 adult 1 article 1 case report 1 clinical article 1 education female 1 follow up 1 hospital discharge 1 hospital patient 1 hospital pharmacy 1 hospital readmission 1 human 1 male medication therapy management 1 outpatient department 1 pharmacist pharmacy student 1 primary medical care 1 professional standard 1 student 1 transitional care 1