Medication Reconciliation Form

Baptist Memorial Hospital, Memphis
Memphis, Tennessee, USA

An unreconciled medication is one that has been omitted in the orders without explanation. This includes medications listed as previously taken on a home medication list for admissions or listed on the MAR for transfers and discharges. This tool may be used to track a patient’s medications upon admission, transfer, and discharge.

As a participant in the Institute for Healthcare Improvement’s Reducing High Hazard Adverse Drug Events Breakthrough Series Collaborative, the Baptist Memorial Hospital, Memphis campus has tested this tool on a pilot population to decrease their rate of unreconciled medications in order to improve patient safety.

Download Document (PDF)

Medication Reconciliation Form


CDC Million Hearts Initiative
This IHI resource is featured in the CDC Million Hearts initiative toolkit for improving hypertension control.