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0 ± 3.7 (range 0-15) discrepancies per patient. Average time spent was 66 ± 22 (range 30-13 minutes with each patient. Of the 50 patients enrolled, 12 were readmitted within 30 days. Conclusions This pilot study demonstrated an improved medication reconciliation process with pharmacist involvement, expanding the body of evidence that pharmacists can enhance TOC management in an inpatient setting. These results highlight the utility of a pharmacist in the implementation and refinement of TOC services and provides impetus for a team-ba
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