The implementation of Medication Reconciliation is resource-intensive. This is especially true if pharmacists are involved in conducting Medication Reconciliation, because this requires substantial investment of resources beyond usual care. Nevertheless, a systematic review of economic analyses of patient safety strategies came to the conclusion that pharmacist-led Medication Reconciliation is one of five economically attractive strategies for improving patient safety (Etchells et al 2012). In one model-based study, which was included in the systematic review, the authors estimated the cost for implementing pharmacist-led Medication Reconciliation at £ 1897 (ca. € 2200 as of March 14th 2013) per 1000 prescription orders (Karnon et al 2009).
Medication Reconciliation can be integrated into applications as Computerized Physician Order Entry (CPOE) and Electronic Medical Records (EMR), although it can also be conducted paper-based if such systems have not been introduced in the facility.
Thorough training of staff, e.g. on creating the BPMH, is of utmost necessity.