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{
    "pk": 367,
    "title": "Should Pharmacies Be Included in Medication Reconciliation? A Report of Recurrent Valproic Acid Toxicity",
    "subtitle": null,
    "abstract": "Including outpatient pharmacies in the medication reconciliation process upon hospital discharge isnot commonly performed. This case highlights the consequences of a patient refilling a discontinuedprescription for valproic acid (VPA). We present a 32-year old male found unresponsive after ingestingdelayed release divalproex sodium. Cerebral edema was visualized on magnetic resonance imaging.Hemodialysis and levo-carnitine treatment led to improved mental status, and VPA was discontinued.The same patient presented with VPA overdose eight months later after he continued to fill an outda tedprescription. This case highlights consequences of VPA toxicity; it also demonstrates an opportunity toimprove patient safety and high-value care by collaborating with outpatient pharmacies in the medicationreconciliation process upon hospital discharge.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/4z99356h",
    "frozenauthors": [
        {
            "first_name": "B.",
            "middle_name": "Tate",
            "last_name": "Cutshall",
            "name_suffix": "",
            "institution": "Houston Methodist Hospital",
            "department": "None"
        },
        {
            "first_name": "Samarth",
            "middle_name": "P.",
            "last_name": "Shah",
            "name_suffix": "",
            "institution": "Methodist LeBonheur Healthcare-University Hospital",
            "department": "None"
        },
        {
            "first_name": "Megan",
            "middle_name": "A.",
            "last_name": "Van Berkel",
            "name_suffix": "",
            "institution": "Methodist LeBonheur Healthcare-University Hospital",
            "department": "None"
        },
        {
            "first_name": "Shanise",
            "middle_name": "",
            "last_name": "Patterson",
            "name_suffix": "",
            "institution": "Methodist LeBonheur Healthcare-South Hospital",
            "department": "None"
        },
        {
            "first_name": "L.",
            "middle_name": "Jeff",
            "last_name": "Harris",
            "name_suffix": "",
            "institution": "University of Tennessee Health Science Center",
            "department": "None"
        },
        {
            "first_name": "Jessica",
            "middle_name": "V.",
            "last_name": "Rivera",
            "name_suffix": "",
            "institution": "Methodist LeBonheur Healthcare-University Hospital",
            "department": "None"
        }
    ],
    "date_submitted": "2017-03-15T02:35:39+05:30",
    "date_accepted": "2017-03-15T02:35:39+05:30",
    "date_published": "2017-03-15T12:30:00+05:30",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/367/galley/133/download/"
        }
    ]
}