What is best possible medication history?
A Best Possible Medication History (BPMH) is a history created using 1) a systematic process of interviewing the patient/family; and 2) a review of at least one other reliable source of information to obtain and verify all of a patient’s medication use (prescribed and non-prescribed).
What should a medication history include?
A good medication history should encompass all currently and recently prescribed drugs, previous adverse drug reactions including hypersensitivity reactions, any over-the counter medications, including herbal or alternative medicines, and adherence to therapy.
Why is best possible medication history important?
Why is a BPMH important? Obtaining a BPMH assists with continuity of care, reducing errors and informs medication treatment decisions.
Which information sources are used in medication history interview?
Potential sources include the patient’s chart, a provincial prescription database, information from a community pharmacy, records from outpatient clinics, medication administration records (MARs) from previous hospital admissions, and an interview with the patient or a caregiver.
What is medication history interview?
The goal of medication history interview is to obtain information on aspects of drug use that may assist in overall care of patient 3. The information gathered can be utilized to: Compare medication profiles with the medication administration record and investigate the discrepancies.
How do you get medication history?
10 Steps to Take an Accurate Inpatient Medication History
- Step 1: Introduce yourself to patients and ask for permission to discuss their home medications.
- Step 2: Check each patient’s name and date of birth.
- Step 3: Ask whether they came to the hospital from their home or a facility, if you’re uncertain.
What is the best way to obtain specific information about a patient when taking medical history?
Obtaining an Older Patient’s Medical History
- General suggestions.
- Elicit current concerns.
- Ask questions.
- Discuss medications with your older patients.
- Gather information by asking about family history.
- Ask about functional status.
- Consider a patient’s life and social history.
How can I get my medicine history?
The sources that can be used to obtain a medication history include:
- Patients should always be consulted unless it is not physically possible (e.g. they are unconscious or confused).
- GP surgeries can provide medicine lists and information on medicines the GP has prescribed for the patient.
How do you ask for medication history?
Ask your patients about collection efforts | Single Article
- What medications do you take at home?
- What is each medicine for?
- What is the dose?
- What medications do you take for your ____ (identify each medical condition the patient is known to have)?
- What medications do you take every day?
Which is the best form for medication history?
The Best Possible Medication History (BPMH) form is pre-populated with dispensed prescriptions recorded in the Pharmaceutical Information Network (PIN) and can be used to complete the BPMH, admission orders and retained as a permanent part of the chart.
When do you do a retroactive medication history?
In the retroactive process, the BPMH is conducted after the AMOs are written. The retroactive process is used when staff are unavailable to perform a BPMH upon admission, the patient is too ill or complex, or there is incomplete information available to complete a BPMH prior to the AMOs. The BPMH should be conducted within 24 hours of admission.
How is a bpmh different from a primary medication history?
The BPMH is different and more comprehensive than a routine primary medication history (which is often a quick patient medication history). Patient medication interview where possible. prescription drug claim histories of Ontario Drug Benefit (ODB) recipients (Drug Profile Viewer)
What do you need to know about medication reconciliation?
Documenting the best possible medication history (BPMH) is the cornerstone of the medication reconciliation process. All subsequent steps in the process depend on an accurate and complete BPMH. MEDICATION ERRORS IMPACT EVERYONE Adverse medication events affect patients, family and our health care system.