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Updated: May 3, 2026

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Medication reconciliation: the priority that isn't.

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Summary

Medication reconciliation in Canada is inconsistently performed, posing risks to patient safety and increasing healthcare costs. This article reviews current practices, barriers, and strategies to improve medication reconciliation nationwide.

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Area of Science:

  • Healthcare Quality and Safety
  • Patient Medication Management

Background:

  • Medication reconciliation is vital for safe patient care but is frequently inconsistent or incomplete.
  • Inadequate medication reconciliation poses significant risks to patients and incurs substantial system costs.

Purpose of the Study:

  • To examine the current state of medication reconciliation in Canada.
  • To identify barriers hindering effective implementation of medication reconciliation processes.
  • To outline strategies for enhancing medication reconciliation initiatives.

Main Methods:

  • Review of the current status of medication reconciliation practices across Canada.
  • Analysis of identified barriers to implementation.
  • Discussion of initiatives undertaken by Canadian healthcare organizations.
  • Exploration of potential governmental actions to improve medication reconciliation.

Main Results:

  • Medication reconciliation is inconsistently applied in Canadian healthcare settings.
  • Significant barriers impede the widespread and effective implementation of medication reconciliation.
  • Various healthcare organizations are actively implementing strategies to improve medication reconciliation.

Conclusions:

  • Provincial and territorial governments must re-energize efforts to standardize and improve medication reconciliation.
  • Enhanced governmental support and strategic initiatives are crucial for overcoming implementation barriers.
  • System-wide improvements in medication reconciliation are necessary to ensure patient safety and reduce healthcare costs.