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4.  Use of pre-printed order forms (or order sets) for order or administration of high

                  alert medicines should be encouraged. Record of the same should be maintained in

                  patient medical record

              5.  Dispensing record should be available for individual doses and drugs

              6.  Patients’  condition  and  progress  should  be  documented  properly  in  the  patient

                  chart or medical record as per the organization’s policy

              7.  All drugs administered should be recorded in a designated place in the patient chart

                  or  medical  record  (Medication  Administration  Record)  as  per  the  organization’s

                  policy

              8.  All patient records should contain drugs allergy status (known or not known) and

                  past medication history

              9.  Storage conditions like temperature and humidity etc. of the drugs storage area

              10.  Should be documented retained till a defined timeframe



         Patient Education


              1.  Educating patients on safe use of medicines in general, and HAMs in particular is

                  the shared responsibility of all healthcare professionals

              2.  Instructions  to  patients  on  how  to  use  medication  in  a  safe  manner  as  per

                  prescription  should  be  clear  and  understandable  (written,  printed,  electronic  or

                  verbal).

              3.  Medication should be reconciled at the time of admission and upon discharge, to

                  avoid  duplications  or  omissions  of  important  drugs.  Patients  should  also  be

                  informed about the updated or current medication list

              4.  If  any  drug-food  allergies  (or  interactions)  are  identified,  patients  or  their  care

                  givers should be informed about precautionary measures (the type of medicines or

                  foods to be avoided)





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