Table 1 (Norwegian) Sources for reading and retrieving information about medication use during medication reconciliation
Sources | Contains |
|---|---|
Summary Care Record | A selection of key health data and complete overview of prescribed and dispensed medications with 3 years medication history. Access: all healthcare professionals |
Prescription Intermediary | Database with all valid electronic prescriptions. Strength: prescription information can be imported to the medication module in the electronic health record. Limitations: only 30 days medication history and paper prescriptions are not shown. Access: only prescribers |
Medication module in the electronic health record | The hospitals electronic documentation of a patient’s medications. If not reconciled and updated with prescriptions from the Prescription Intermediary upon admission, old prescriptions from previous hospitalizations can become part of the medication list. A table with the medication list can be automatically inserted in patient records. This list forms the basis for medication information throughout the hospital stay |
Medication chart | Paper list with the patient’s current medications, used for documentation of prescribed and administered medications during hospitalization. The medication chart at ED1 and ED3 was a printed version from the medication module in the electronic health record. For ED2 the medication chart was handwritten |