European Statement:
- Patient Safety and Quality Assurance
What was done?:
Integrate the outpatient pharmaceutical care record to the electronic patient record via an application form included in the process of each pathology.
Why was it done?:
How was it done?:
First question was where the application form should be included when the patient came in for a consultation. In order to unify all the actions relating to the process, it was decided to include the form in the main process instead of creating a specific process for the pharmacy department. For example, a form for an HIV patient should be included in his Infectious Disease Consult process.
Another issue was to define what items should be taken into account for the follow up.
Finally, the following items were included: reason for the visit, pathology, clinical data, outpatient treatment, regular treatment, drug-related problems, adverse drug allergies/past issues, adherence, checks to mark whether the patient has received the oral and written information, the leaflet from the host to the Outpatient Pharmacy Service and a free text to write down given recommendations.
What has been achieved?:
Improvement of patient care, increased safety in the use of drugs and in the avoidance of medical errors has all been achieved, as well as the promotion of teamwork amongst professionals who attend to the patient. From the information technology perspective, data export can be provided for future researches.
What next?:
Keywords:
- IT›Electronic medication record
- Patient characteristics›Outpatient
- Patient safety›Computerized medical record
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