Risks Associated with Medication Reconciliation and Transitions of Care

Medication reconciliation is intended to ensure the accuracy of the medication list at each patient encounter. However, the medication lists are entered into electronic health records by a variety of individuals (both licensed and unlicensed) across different health care settings and are not always accurate. A significant patient safety hazard may occur when these lists are used to create hospital medication orders that result in the continuation of inaccurate and/or incorrect medications.

Learning Objectives

  • Cite evidence regarding the frequency of medication errors in medication histories.
  • Describe the role of pharmacists in reducing readmissions through safe medication transition programs.
  • Describe the rationale behind using trained pharmacy technicians to obtain medication histories.

The presentation material has been made available to members. Follow the link on the right to download and view.

Listen to the webinar recording.


Rita Shane Pharm.D., FASHP, FCSHP will share further insight and the impact of this safety concern, as well as recommendations to ensure patient safety.

Dr. Shane is Director of Pharmacy Services at Cedars-Sinai Medical Center, an 896 bed acute, tertiary care, teaching institution in Los Angeles and Assistant Dean, Clinical Pharmacy Services, at the University of California San Francisco School of Pharmacy. Dr. Shane was named as one of the “50 Experts Leading the Field of Patient Safety” in the 2013 Becker Hospital Review and was the 2012 recipient of the Harvey A.K. Whitney Award. She has also been recognized in the California Society of Health-Systems Pharmacists, Pharmacist of the Year and received the ASHP Distinguished Service Award, the ASHP Distinguished Leadership Award and the John Webb Professorship in Hospital Pharmacy on management excellence. Dr. Shane collaborated in two research studies that led to approval to tech-check-tech in California. She is the author of one of the ASHP Practice Model Summit papers and served as the U.S. facilitator and author of an international paper on medication administration at the Global Conference on the Future of Hospital Pharmacy. She is currently the ASHP representative to The Joint Commission Hospital Professional Technical Committee. She has presented at local, state, national and international meetings, and has published over 80 papers and over 160 presentations. Her Big Hairy Audacious Goal is that patients ask “Where is my pharmacist?” whenever they receive health care services.