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Table 1 Medicines-related information to be communicated in discharge summaries according to JBDS and NPC criteria (adapted from 24,10)

From: Evaluating insulin information provided on discharge summaries in a secondary care hospital in the United Kingdom

A list of all medicine prescribed for the patient on discharge from hospital (and not just those dispensed at the time of discharge)
Dose, frequency, formulation and route of all the medicines listed
Medicine stopped and started, with reasons
Details of increasing, or decreasing dose regimens
This information should be clear, unambiguous and legible and should be available to the GP as soon as possible.
Patients should be given a copy of their discharge summary (JBDS 2015)