Reconcile Medications at All Transitions

Medication reconciliation is the process of creating the most accurate list possible of all medications a patient is taking — including drug name, dosage, frequency, and route — and comparing that list against the admission, transfer, and/or discharge orders. The goal is to ensure that all correct medications are communicated to the patient and to prevent unintended changes or omissions of medications at all transition points.

Poor communication of medical information at transition points is responsible for as many as 50% of all medication errors and up to 20% of adverse drug events in the hospital 1. Each time a patient moves from one setting to another, clinicians should review previous medication orders against new orders, reconciling any differences. When this process does not occur in a standardized manner, adverse drug events may occur.

To address this opportunity, we developed a 3-part Medication Reconciliation Learning Series housed on The Learning Center.

What to Expect:

Each module will take approximately 45-60 minutes to complete. The system will walk you thru the following steps:

  • Take a brief assessment
  • Review the module (broken into sections, including check your knowledge questions)
  • Complete a post-knowledge assessment

Upon successful completion, you will be able to download the tools & resources related to that module and receive a certificate of achievement.

Medication Reconciliation Modules:

  1. Taking the Best Possible Medication History
  2. The Complete Process
  3. Opportunities for Care Transitions Pharmacists
How to Access The Learning Center
  1. Log in or create a new account at:
  2. Click on the Courses link on the top menu bar (next to My Dashboard).
  3. Select the General category from the list to find these courses.
  1. Institute of Medicine. 2007. Preventing Medication Errors. Washington, DC: The National Academies Press.