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Medication reconciliation — DGM MCQ

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HardPolypharmacyMedication reconciliationDGM

An 86-year-old man is readmitted two days after discharge with dizziness. His GP list, discharge letter and blister pack all differ. He cannot say which tablets he actually takes. Current medicines include multiple cardiovascular medicines. What is the most appropriate assessment?

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Correct answer: A — Structured medicines reconciliation

Conflicting medication sources after discharge require structured medicines reconciliation using reliable sources and patient or carer input. Assuming one list, stopping medicines blindly, asking the patient to guess and CT head first do not address the high-risk discrepancy. Medicines reconciliation is a safety intervention during transitions of care.

Reference: NICE NG56