Medication reconciliation to facilitate transitions of care after hospitalization.

Geriatric patients are susceptible to medication errors due to polypharmacy and coexisting conditions, resulting in the need for enhanced transition coordination. This commentary describes a multidisciplinary program developed to improve medication reconciliation that engaged teams of inpatient and outpatient workers (including clinicians, pharmacists, and administrative staff) in performing follow-up phone calls and record review to confirm postdischarge medication regimens.