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Case Study

MedRecon — AI-Assisted Medication Reconciliation

Real-time medication verification during patient discharge — catching discrepancies across 3 sources before the patient leaves.

RoleSolo developer & clinical pharmacistSettingNational cardiovascular referral center, JakartaStatusActive pilotStackGoogle Apps Script · Firebase · Groq AI · Vanilla JS

The Problem

At patient discharge, pharmacists must manually cross-check three separate medication documents — inpatient orders, discharge summary, and prescription — while simultaneously counseling the patient. In cardiovascular care, patients routinely carry 8–15 medications. The process was time-intensive, unstandardized, and produced no structured data for quality review.

What I Built

MedRecon automates the comparison of the three document sources and surfaces discrepancies for pharmacist review. The system classifies each drug entry across nine discrepancy categories, handles cardiovascular-specific edge cases (IV-to-oral transitions, therapeutic class switches, ICU drug discontinuation), and produces a verified, auditable record of every reconciliation.

Pharmacists remain the decision-makers. The AI handles pattern recognition; every discrepancy requires explicit pharmacist approval or a documented override before the case is marked complete.

Impact

  • check_circle20 pharmacists, 13 wards in active pilot
  • check_circleEstimated 5–10 min saved per discharge review
  • check_circleFull audit trail + ward-level discrepancy dashboard for monthly quality reporting
  • check_circleStandardized documentation replacing ad-hoc manual process

Key Decisions

Built on Google Workspace infrastructure for zero-friction hospital deployment. Chose a lightweight AI provider for cost efficiency at pilot scale. Kept pharmacists in the loop by design — the tool augments clinical judgment, it does not automate it.

apt. Ryeska Fajar Respaty, M.Farm. — Clinical Pharmacist & Developer