Patient and institutional factors which make medication reconciliation more challenging
| Patient demographics | Institutional considerations |
| Nearly 25% non-English speaking | Academic public safety net hospital |
| Over 75% Medicare/Medi-Cal | Multisetting health network without a unified electronic health record, lacking a unified medication list |
| Over 15% homeless | No systematic approach to medication reconciliation |
| Median age 51 years | Large percentage of voluntary staff, large training programme |