What it is

The reconciliation form: the best possible medication history at admission (sources checked), the hospital orders beside it, every discrepancy classified and resolved, and the discharge list with changes explained to the patient.

Where to use it

Admission within 24 hours; at transfer; at discharge — by the admitting doctor or pharmacist. Evidence for: Hospital Standard 4 — medication safety (reconciliation at transitions); Standard 6 — discharge. Evidence for: Hospital Standard 4 — medication safety (reconciliation at transitions); Standard 6 — discharge. Evidence for: Hospital Standard 4 — medication safety (reconciliation at transitions); Standard 6 — discharge. Evidence for: Hospital Standard 4 — medication safety (reconciliation at transitions); Standard 6 — discharge. Evidence for: Hospital Standard 4 — medication safety (reconciliation at transitions); Standard 6 — discharge. Evidence for: Hospital Standard 4 — medication safety (reconciliation at transitions); Standard 6 — discharge. Evidence for: Hospital Standard 4 — medication safety (reconciliation at transitions); Standard 6 — discharge. Evidence for: Hospital Standard 4 — medication safety (reconciliation at transitions); Standard 6 — discharge. Evidence for: Hospital Standard 4 — medication safety (reconciliation at transitions); Standard 6 — discharge.

Translate and adapt

English master edition. Georgian and other translations are added as they are clinically reviewed. Any facility may translate, add its logo and adapt wording to local practice — keeping the ASF block, the source attribution and the licence line on the sheet. Clinical thresholds and drug doses must be confirmed against national protocols before use.