Medication Reconciliation

Identifying Attributes

Care Settings
Hospital Care
Country
United States of America
Publishing Organisation
The Leapfrog Group
Type of Quality Indicator
Outcome
IOM Quality Dimension
Safety
Domain
Medications and Medication Management

Defining Attributes

Definition

The rate of unintentional medication discrepancies per medication.

Numerator

The total number of: • Unintended discrepancies in admission and discharge among the gold standard medications • Discrepancies due to unintentionally ordered additional medications

Denominator

The total number of: • Medications obtained by the pharmacist or certified pharmacy technician from the Gold Standard Medication History • Unintentionally ordered additional medications for the adult patients included in the sample on admission and/or discharge identified by the pharmacist

Exclusions

All hospitals should exclude patients under 18 years old, patients who were discharged or expired before the Gold Standard Medication History could be obtained, and patients that do not have discharge orders written during the reporting period.

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

None

Collection and Reporting Attributes

Type of Data Collection
Surveys
Data Collection Methods

Leapfrog Hospital Survey

Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods

Publicly reported at: ratings.leapfroggroup.org/

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
Yes

Source and Reference Attributes

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025