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Patient Safety
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Please visit the UHN Patient Education website for more health information: www.uhnpatienteducation.ca
© 2014 University Health Network. All rights reserved.
This information is to be used for informational purposes only and is not intended as a substitute for professional
medical advice, diagnosis or treatment. Please consult your health care provider for advice about a specific
medical condition. A single copy of these materials may be reprinted for non-commercial personal use only.
Author: Shiwani Chhibbar BScPhm, Sara Ingram MSc, BScPhm, ACPR, Olavo Fernandes PharmD, Catherine Tsai
BASc, and Elke Ruthig, Manager Patient Education
Created: 11/2008
Form: D-5582 (06/2014)
What is medication reconciliation?
Medication reconciliation happens when health care professionals and patients work
together to improve medication safety.
1. We compare your
complete and up-to-date
list of medications you
take at home
with
and
2
How does it keep me safe?
• We can make sure you take the right medications at the hospital and when you
go home.
• It reduces the risk of medication mistakes.
• It helps you and your family keep an up-to-date medication list you can take with
you whenever you need it.
3
How can I help?
Remember to update your list regularly with any changes you or your
doctor makes.
4
Medication List Name:
Medication name Strength When I take it How many What I take it for
(example: mg) each time
Example: Atorvastatin (Lipitor) 10 mg (milligrams) Once a day before bed 1 pill High cholesterol
5
I am allergic to:
3. Review your medications with your doctor, nurse or pharmacist.
When you are ready to go home from the hospital, ask your doctor, nurse or
pharmacist review your medications with you.
Always talk to your pharmacist if you have any questions or concerns about
your medications.