What is the key principle behind medication reconciliation?

The key principle behind medication reconciliation is ensuring all medications are accounted for and accurately documented. This process involves gathering comprehensive medication information when patients transition between different care settings, such as from home to a hospital, between departments within a hospital, or upon discharge. The goal is to create a complete and accurate medication list that reflects what the patient is currently taking, including prescribed medications, over-the-counter drugs, and any supplements.

By accurately documenting this information, healthcare providers can identify potential discrepancies, such as omissions or duplications, and prevent medication errors that could lead to adverse drug events. This is especially critical for patient safety, as inaccuracies in medication lists can result in serious health risks, including harmful drug interactions and incorrect dosages.

Other options, such as ensuring only new medications are added or relying solely on patient verbal history, do not encompass the full scope of medication reconciliation. It is about more than just tracking new medications or patient statements; it requires a thorough review and verification of the entire medication regimen. Updating medication lists biannually is not sufficient, as medication reconciliation should be an ongoing process occurring at every transition of care.