Medication Reconciliation

When patients move between different health care settings there is a risk for unintentional changes to occur with their medicines. Unintentional changes include overlooking current medicines, starting medicines that are no longer taken, duplication of medicines, failure to restart medicines after surgery, transfer or discharge, and errors in recording medicines information, such as the incorrect drug or dose being prescribed. These changes can lead to significant patient harm and less effective use of medicines.

Medication reconciliation is the process of ensuring that patients receive all intended medicines and that accurate, current and comprehensive medicines information follows them at all transfers of care. Formalised medication reconciliation processes have been recognised internationally as a strategy to improve patient safety.

Ensuring a formal medication reconciliation process is in place is essential to every health service’s risk management strategy, which should be supported by quality improvement methodology and driven by a multidisciplinary team. The CEC Medication Reconciliation Toolkit is available to support health services with improving their medication reconciliation processes.

The Medication Reconciliation education program provides an introduction to the process of medication reconciliation and how it can improve patient safety at transfers of care. It provides an overview of the CEC Medication Reconciliation Toolkit and how it can support health services to improve their medication reconciliation processes.

The Medication Reconciliation education program is an initiative of the CEC Medication Safety and Quality unit.

Learning objectives

At the end of this education program you will be able to:

  • Understand how unintentional medicine changes occur when patients move between different health care settings
  • Describe the purpose of medication reconciliation
  • Explain the four steps of a formal medication reconciliation process
  • Recognise the importance of multidisciplinary involvement in ensuring a reliable process
  • Understand some of the key challenges in implementing medication reconciliation
  • Locate, navigate and use the tools contained in the CEC Medication Reconciliation Toolkit to support quality improvement efforts in this area
  • Understand the role of the CEC in supporting medication reconciliation in NSW health services

It is our aim to ensure the education we provide is relevant to the needs of the staff who attend. The education program described above is all inclusive; we are flexible in the content covered during the program.

Course dates

To be negotiated with each individual health service at the time of registration.

Mode of delivery and duration

  • Flexible delivery: face-to-face or virtual
  • Up to 2 hours

Who should attend

Clinical staff, health managers, and safety and quality personnel.


Evaluation of program

Participants will be asked to give feedback at the end of the program. It is an expectation that all participants complete an evaluation survey so we can continue to improve the education experience.

Continuity of medication management elearning module

This e-Learning module is an informative and interactive online learning experience that focuses on the importance of continuity of medication management and the processes of medication reconciliation. This is not a prerequisite to the face to face training, however it may be helpful to complete prior to attending the program.

It is suitable for all clinical staff, particularly medical officers, nurses and pharmacists and may quality for up to 0.5 hours of Continuous Professional Development. The module encourages participants to thinking about their roles and responsibilities in medication reconciliation and the local processes that are in place within their workplace.

The module is available through the Health Education and Training Institute's My Health Learning platform (course code: 157075702).


  • Free for NSW Health Staff

Further information / how to register

Contact the Project Officer, Continuity of Medication Management
Phone: 02 9269 5500