What is the role of medication reconciliation at shift handoffs?

• A. Record only new medications.
• B. Ensure an accurate, up-to-date list of medications and changes to prevent omissions and duplications.
• C. Remove all medications at handoff.
• D. Ignore changes unless requested.

Answer: (B)

Maintaining an accurate, up-to-date list of medications and changes is the role of medication reconciliation during shift handoffs. This process ensures continuity of care by verifying that every medication the patient should be taking is clearly documented, including any additions, discontinuations, dose adjustments, routes, and frequencies. By comparing current orders with the patient’s prior records, pharmacy data, and the patient or family report, the team can identify and resolve discrepancies before they affect care. This helps prevent omissions (medications that were meant to be continued), duplications (having the same medication listed more than once), and dangerous interactions or contraindications. In short, a complete reconciliation provides one verified med list for the new team, promoting safety and smooth transition between shifts.