When is the medication reconciliation process most beneficial?

The medication reconciliation process is particularly beneficial during patient discharge from the hospital because this transition is a critical time when patients are vulnerable to medication errors. At discharge, patients may leave with new medication regimens that differ from what they were taking before hospitalization, due to changes in the treatment plan or the resolution of acute conditions.

Engaging in medication reconciliation at this stage ensures that the patient's current medication list is accurate and complete, minimizes the risk of discrepancies, and confirms that patients understand their discharge medications, including dosages and reason for changes. It also provides an opportunity for healthcare providers to educate patients about their medications, ensuring they understand how and when to take them, as well as the importance of adhering to the new regimen, which can enhance safety and treatment effectiveness post-discharge.

In contrast, although medication reconciliation is important before prescribing medications, starting new medications, and after medications are finished, these moments do not present the same level of risk as transitioning from hospital to home care. The discharge process is often where lapses in communication can lead to significant adverse drug events.