Final Summary

Medication Reconciliation is a process designed to prevent medication errors at all interfaces of care (admission, transfer and discharge). The purpose of this module was to provide you with the basic knowledge and understanding to successfully incorporate medication reconciliation in your daily practice as a team. If you have already implemented medication reconciliation, then completion of this module will hopefully reinforce the concepts and strengthen communication within your team.

It is very important to evaluate the success of your team in performing medication reconciliation. It is beyond the scope of this module to review the methods of evaluation. You should consult your quality improvement and patient safety coordinator or ISMP Canada (www.ismp-canada.org).

If you have comments or suggestions about this module, we would love to hear from you. Please email office.ipep@queensu.ca.

Thank you.

Summary of the Medication Reconciliation Process at Admission, Transfer and Discharge

Summary of the Medication Reconciliation Process at Admission, Transfer and Discharge

BPMTL: Best Possible Medication Transfer List

Sample Medication Reconciliation Record Form for Inpatients

This form is also available as a PDF.

Medication Reconciliation Record

Patient: ______________________________
Step Completed/authorized by (print name and designation) Date/time
Admission
BPMH
Admission Medication Orders
Reconciliation (BPMH with AMOs)
Transfer
Reconciliation (BPMH with MAR)
Discharge
Reconciliation (BPMH with MAR)
BPMDP
  • Patient communication
  • Provider communication