In particular, unreflectingly switching back to the pre-hospitalisation medication must be avoided.
Thomas Grischott, Stefan Zechmann, Yael Rachamin, Stefan Markun, Corinne Chmiel, OliverSenn, Thomas Rosemann, Nicolas Rodondi, Stefan Neuner-Jehle 2018, 'Improving inappropriate medication and information transfer at hospital discharge:study protocol for a cluster RCT', Implementation Sciencehttp://link.springer.com/article/10.1186/s13012-018-0839-1. Retrieved from DOAJ CC BY 4.0 (https://creativecommons.org/licenses/by-sa/4.0/legalcode)