Glossary of Terms
Accredited pharmacist | A pharmacist accredited to undertake medication management reviews for individuals in community or aged care settings. |
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Adherence assessment | Assessing the extent to which a person’s medication-taking behaviour corresponds with agreed recommendations from a health care provider. Assessment can include subjective patient ratings, use of scoring tools, monitoring of therapeutic effect, and review of medication usage. |
Discharge Medication Record (DMR) | A medication list which is provided to patients on discharge. Includes current medicines (including dosing regimens, indications, and any changes to medication during admission), recently ceased medicines, and allergies/adverse drug reactions. |
Discharge Summary | A collection of information about events during care by a provider or organisation. It is a document produced during a patient's stay in hospital, as either an admitted or non-admitted patient, and issued when or after a patient leaves the care of the hospital.[1] |
Dose administration aid | A tamper-evident, well-sealed device or packaging system that allows organisation of doses of medicine according to the time of administration.[2] |
General Practice Pharmacist | A pharmacist who delivers professional services from or within a general practice medical centre with a coordinated, collaborative, and integrated approach with an overall goal to improve the quality use of medicines of the practice population.[3] |
Home Medicines Review (HMR) | An Australian Government-funded collaborative medication review service involving the patient, an accredited pharmacist, and a medical practitioner. |
LACE Index | A validated tool used to predict a patient’s risk of readmission to hospital. |
Medication reconciliation | A formal process of obtaining and verifying a complete and accurate list of a patient’s current medicines, matching the medicines the patient should be prescribed with those they are actually prescribed.9 |
MedsCheck | A medication review service provided under the Seventh Community Pharmacy Agreement. It is undertaken in a community pharmacy by a registered pharmacist and includes medication reconciliation, consultation, and development of an action plan. |
Patient | A person who uses, or is a potential user of, health services. |
Post-discharge Medication Management Plan | A continuing plan for the use and management of medicines developed in collaboration with the patient during the post-discharge follow up appointment. The plan is communicated to the patient’s nominated GP and community pharmacist. |
[1] The Australian Commission on Safety and Quality in Health Care. National guidelines for on-screen presentation of discharge summaries. Sydney: ACSQHC;2017.
[2] The Pharmaceutical Society of Australia. Professional Practice Standards version 5. Deakin West, PSA,2017.
[3] The Pharmaceutical Society of Australia. Guidelines for General Practice Pharmacists. Deakin West, PSA;2019.