Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 3: Critical Thinking Process to Identify and Clarify Discrepancies
|Category||Definition||Example||Requires Physician Followup?
|&One-to-One" Match||Medications ordered for the patient during the episode of care or upon discharge match what the patient was taking prior to admission.||
|Intended Discrepancy (i.e., purposeful)||Discrepancies exist but are appropriate based on the patient's plan of care (e.g., based on information gathered on rounds, based on a review of the physician's history and physical and progress notes, based on communication/handoffs in preparation for discharge, etc.).||
|Unintended Discrepancy||Discrepancies exist and require clarification of intent because there is no supporting documentation of explanation based on the patient's current clinical condition or care plan.||
||Yes—physician should be consulted for resolution and resulting changes and/or clarifications documented.|