Auditing questions | MedRec score (yes = 1; no = 0) |
---|---|
Was an accurate BPMH obtained on admission? | Â |
Was an accurate BPMH obtained on internal transfer? (If N/A = score of 1) |  |
Was an accurate BPMH documented at discharge? | Â |
Were discrepancies between BPMH and medication administration record (MAR) record identified and resolved within 24Â h of admission? | Â |
Were discrepancies between BPMH and MAR identified and resolved at discharge? | Â |
Were formulary/non-formulary auto-substitutions in the hospital reverted to what the patient was taking prior hospitalization? (If N/A = score of 1) |  |
Was a standardized discharge report (i.e., new, continued, stopped, and/or changed medications) faxed to the patient’s primary pharmacy? |  |
Did the patient receive a PODS at discharge? | Â |
Was the patient counselled by pharmacist on all medications (including monitoring) at discharge? | Â |
Was cost of medications and insurance coverage discussed and addressed with the patient? | Â |
Is there a mechanism of communication between community pharmacist, family physician, and hospital physician? | Â |
MedRec Score (out of 11) | Â |