Documentation of patient information

This resource outlines best practices for documenting patient information related to medication history and adverse drug reactions. It provides guidance on obtaining the best possible medication history (BPMH), reconciling medications at care transitions, and recording known allergies. The resource helps aged care providers ensure accurate medication management, reduce errors, and prevent harm from adverse drug events. 

This resource may apply to healthcare contexts outside of aged care. Please consider the applicability of this resource to your care setting.