Medication reconciliation checklist 2025

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The process of medication reconciliation at discharge should include comparison of the patients medication list upon admission (the BPMH), the current medication orders, any ongoing plan for medicines at discharge and the discharge medication order/summary.
There are five stages of the medication process: (a) ordering/prescribing, (b) transcribing and verifying, (c) dispensing and delivering, (d) administering, and (e) monitoring and reporting. Monitoring and reporting is a newly identified stage about which there is little research.
This process comprises five steps: (1) develop a list of current medications; (2) develop a list of medications to be prescribed; (3) compare the medications on the two lists; (4) make clinical decisions based on the comparison; and (5) communicate the new list to appropriate caregivers and to the patient.
One of the recommendations to reduce medication errors and harm is to use the five rights: the right patient, the right drug, the right dose, the right route, and the right time.
List all medications and the physician(s) who prescribed them. Include any vitamins, herbal supplements, or over-the-counter medicines. Write neatly so that others can read your form.
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People also ask

Most health care professionals, especially nurses, know the five rights of medication use: the right patient, the right drug, the right time, the right dose, and the right routeall of which are generally regarded as a standard for safe medication practices.
The 6 rights (Rs) of medicines administration provide a helpful prompt: Right person. Right medicine. Right route. Right dose. Right time.

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