Unintentional medication discrepancies during transitions in care pose a major threat to patient safety, with up to 67% of inpatients having at least one unexplained discrepancy in their prescription medication history at the time of admission, according to the Society of Hospital Medicine (SHM) in Philadelphia.

One solution to this problem is medication reconciliation. SHM has developed a manual through an Agency for Healthcare Research and Quality grant to help hospitals improve medication reconciliation practices.

The Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS) identifies best practices for medication reconciliation processes throughout admission, transfer, and discharge.

The MARQUIS Implementation Manual is available for free on the SHM website at http://www.hospitalmedicine.org/MARQUIS.