Medication Management

Medication Reconciliation (MedRec)

What is MedRec?

Medication reconciliation (MedRec) is a formal and structured process that accounts for all of the medications you are currently taking at home, including over-the-counter medications and natural health products.

Why do it?

  • To know all of the medications you are taking before you are admitted or before your visit.
  • To reduce medication errors (death, re-hospitalization, side effects, prolonged hospitalization).
  • To ensure the healthcare professional has all of the accurate information they need to give you appropriate treatment.
  • To apply best practices.

How is MedRec done at our facilities?

1-    An interview with a healthcare professional
2-    Creating an up-to-date list of medications

How can you prepare for a visit?

Questions to ask

Here are five questions to ask about medications when you meet with a physician, nurse, or pharmacist. 


Have any medications been added, stopped or changed, and why?


Which medications do I need to continue taking and why?


How should I take medications and for how long?


How will I know if my medications are working and what side effects should I watch for?


Do I need any tests and when should I book my next appointment?

Ask your healthcare professional to review your medications to see if any should be stopped or reduced.

Keep your medical record up-to-date

Remember to include:

  • Allergies to medications
  • Vitamins and minerals
  • Herbal/natural products
  • All medications, including non-prescription medications

Source: Institute for Safe Medication Practices Canada

How can you help a healthcare professional when talking about medications?

  • Bring an up-to-date list of the prescription and over-the-counter medications you take
  • Know the contact information for your pharmacy
  • Know your medication-related allergies and intolerances

Test your knowledge of medication management


Do you know how to manage your medications?

Check out some examples from our different facilities.

Sofia (28 years old) : Douglas Mental Health University Institute

She is being followed at the Douglas Mental Health University Institute for an eating disorder.

When the doctor took her on as a patient, he did a medication reconciliation (MedRec). 

Do you know what a MedRec is?

1-    YES
2-    NO

Answer: MedRec is a formal, structured process that accounts for all of the medications a user is currently taking at home, including over-the-counter medications and natural health products.

Ève (88 years old) : CHSLD de LaSalle

She has been transferred to the CHSLD de LaSalle after a stay in hospital. 

What information do you think should be included in her transfer file?

A)    Information about her allergies to medications
B)    A list of her vitamin supplements
C)    A list of her natural supplements
D)    A list of all the medications she is taking, including over-the counter medications
E)    All of the above! -Initial Medication Reconciliation

Farrah (33 years old) : Hôpital de LaSalle

She goes to the Hôpital de LaSalle to give birth. 

When she is being admitted, the nurse asks her if she takes any medications and if she is allergic to any medications.

Why does the nurse ask that?

A) To avoid drug interactions
B) To avoid undesirable side effects
C) To have the right information to provide the right treatment
D) All of the above!

Richard (44 years old) : St. Mary’s Hospital Center

He went to St. Mary's Hospital Center for knee surgery.

When he is being discharged, the surgeon prescribes him antibiotics and pain medication.

What questions should Richard ask him about these medications?

A)    Does he need to stop or modify the dosage of other medications?
B)    How should he take his new medications and for how long?
C)    How to reconcile his new medications with the medications he already takes regularly?
D)    All of the above!

Dorothy (68 years old) : Lakeshore General Hospital

She is hospitalized at the Lakeshore General Hospital because of abdominal pain.

The physician in the Emergency Department wants to prescribe medications for her to take at home.

How can she help this healthcare professional?

A)    Know the name of her pharmacy
B)    Bring a current list of her prescription and over-the-counter medications
C)    Tell them if she is allergic to certain medications or does not tolerate them well
D)    All of the above!

Mike (17 years old) : West Montreal Readaptation Centre

Mike is autistic and receives services at the West Montreal Readaptation Centre.

During an appointment with his pediatrician, the doctor adjusts the dosage of Mike’s anxiety medication. 

He asks the person at the appointment with Mike whether he is still taking all of his other medications.

What types of errors could Mike make when taking his medications?

A)    Taking the same type of medication twice
B)    Taking a medication a healthcare professional has stopped prescribing
C)    Taking the wrong dosage
D)    Taking a medication that interacts with others
E)    All of the above!

Assane (9 years old) : Batshaw Youth and Family Centres

He has arrived at a group home following an assessment by the Batshaw Youth and Family Centres.

He has Type 2 diabetes and will need to inject himself with insulin.

What information will the group home worker need?

A)    A complete list of his medications
B)    Any allergies and intolerances Assane may have
C)    The name of his treating physician and community pharmacy
D)    Will he need to take other medications
E)    All of the above!

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