MedRecon — AI-Assisted Medication Reconciliation
Real-time medication verification during patient discharge — catching discrepancies across 3 sources before the patient leaves.
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