human 9 adult 7 medication therapy management 6 Article 5 Humans 5 female 5 male 5 Medication Reconciliation 4 Medication reconciliation 4 article 4 hospital discharge 4 medication error 4 Cultural studies 3 Patient Discharge 3 hospital readmission 3 patient safety 3 pharmacist 3 Adult 2 Medication errors 2 Pharmacists 2 Quality improvement 2 Reconciliation 2 clinical article 2 cohort analysis 2 controlled study 2 drug safety 2 education 2 follow up 2 hospital 2 hospital admission 2