MR is the process of creating and maintaining an, as accurate as possible, overview of patient's actual medication use, in order to prescribe and provide correct medication to the patient at all transition points and avoid unintended medication discrepancies [1]. However, MR services are time consuming and only a relatively small proportion of patients are affected by clinically significant unintended discrepancies [2,3]. This makes a MR service difficult to implement. Targeting high risk patients might increase the efficiency of MR services facilitating implementation.
