This medication reconciliation form, created by the medical staff as a collaborative effort, was designed specifically for use with orthopedic patients. The tool is a good example of segmenting the patient population to develop a form that best meets the needs of those patients and the clinicians who care for them.

The organization believes one key to their success for implementation is the ownership of the form by the medical staff, who participated in development, revision, and are responsible for completion.

Download the tool for complete instructions.