How is medication reconciliation typically conducted?

Medication reconciliation is typically conducted by comparing the medication list to discharge orders or verifying with the patient. This process is essential for ensuring that the patient's current medications are accurately documented and that any changes made during a hospital stay or transition in care are understood and communicated effectively.

When conducting medication reconciliation, healthcare providers often engage directly with the patient to confirm the medications they are taking, including over-the-counter drugs, supplements, and any recent changes that may not be reflected in hospital records. This approach helps to identify any discrepancies, such as omissions, duplications, dosing errors, or potential drug interactions that could occur if the patient resumes all medications upon discharge.

Involving patients in this process enhances their understanding of their medication regimen and promotes medication safety, which is a key goal of care transitions. This collaborative method not only helps to improve patient adherence to their medication plans but also minimizes the risk of adverse drug events upon re-entering their home environment.