Accomplishing Medication Reconciliation

A 2012 systematic review of inpatient medication reconciliation studies did find some evidence supporting pharmacist-led medication reconciliation processes. However, the study did not reach any firm conclusions regarding the most effective strategies. 

Require the patient or a family member to validate the list if possible 

Compare admission orders with the pre-admission medication list 

Make the list readily available to prescribing professionals 

Provide reconciliation information to the next unit or patient care setting. 

Give the complete list of medications to the patient at discharge 

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