Treat reconciliation as a process
AHRQ's MATCH toolkit is organized around designing, implementing, educating, and evaluating a medication-reconciliation process. That framing matters because a clean final list can conceal how conflicts were resolved.
For consultant practices, the risk often sits between a hospital document, facility orders, dispensing data, and the resident or caregiver account. None should be silently treated as authoritative for every field.
Create a discrepancy record
Capture the competing values and their sources, the question raised, the clinician responsible for resolving it, the decision, and the time resolved. Separate clerical normalization from a clinical decision.
Prioritize the list using facility policy and clinical judgment rather than an opaque software score. Ensure urgent discrepancies have a route that does not wait for routine monthly review.
Test the difficult transition
In a demo or internal audit, use a resident returning with a changed dose, a discontinued drug still present in one source, and a new short course. Ask what users see, what is preserved, and how the final state reaches downstream reports.
The goal is not a perfect fictional record. It is a controlled way to recognize, assign, and resolve uncertainty.