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.
- 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.
Questions to ask
Here are five questions to ask about medications when you meet with a physician, nurse, or pharmacist.
- CHANGES TO MY PRESCRIPTIONS
Have any medications been added, stopped or changed, and why?
- CONTINUING MY MEDICATIONS
Which medications do I need to continue taking and why?
- PROPER USE OF MY MEDICATIONS
How should I take medications and for how long?
- MONITORING THE USE OF MY MEDICATIONS
How will I know if my medications are working and what side effects should I watch for?
- FOLLOW-UP TO ADJUST OR STOP MY USE OF MEDICATIONS
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
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
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?
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
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
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?
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
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
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