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Medication Reconciliation for Hospitalists

Safer Medication Management for Better Transition of Care

SHM recognizes the importance of equipping hospital clinicians with evidence-based strategies to prescribe, document, and reconcile medications accurately and safely at times of care transitions.

Medication reconciliation, or med rec, is the process of compiling the most accurate list of medications a patient is taking to avoid dosing or other errors.

Take responsibility for med rec with your patients by:

  • Leading, coordinating or participating in med rec quality improvement efforts that incorporate best practices to improve patient outcomes.
  • Grasping key evidence-based interventions, such as obtaining the best possible medication history and effective discharge medication counseling.
  • Identifying patients who are at high risk for medication discrepancies due to the number and/or types of medications they are prescribed

View resources that SHM has curated to help improve your med rec practices.


SHM’s MARQUIS Medication Reconciliation Collaborative: Implementing Med Rec Process Change and Improvement

Hospitals across the U.S. are reducing unintentional medication discrepancies that lead to adverse drug events and patient harm through SHM’s MARQUIS Med Rec Collaborative. Participating hospitals identify med rec process gaps, develop and implement better ways for medications to be prescribed, documented and recorded, and measure improvement over time.

About SHM’s MARQUIS Med Rec Collaborative:

  • The program is 14-months, from pre-launch to completion.
  • Participating hospitals are connected with prior MARQUIS Med Rec Collaborative staff from 23 sites, serving thousands of patients, for expertise and experience.
  • Participating hospitals are provided with training materials, project management and process improvement tools.
  • The MARQUIS Collaborative utilizes "unintentional medication discrepancies per patient" as the main measurement collected for your quality improvement purposes, which is endorsed by the National Quality Forum (NQF) and is the official Leapfrog measure for medication reconciliation.
  • There is a program fee of $4,700.
  • Open to adult hospitals only.

Learn More