Table 1.
List of Potential Medication Record Discrepancies and Medication Related Problems
| Medication Record Discrepancy: |
| Unintentional Discrepancy: medication change made either inadvertently or deliberately by the patient without the knowledge of the health care team. |
| Undocumented Intentional Discrepancy: medication change made by another healthcare professional but not listed on the medication record. Subcategories include: |
| • omission (medications being taken by the patient but not listed in the medication record) |
| • commission (medications no longer being taken by the patient but still listed on the medication record) |
| • wrong drug |
| • wrong dose |
| • wrong frequency |
| • dose/schedule not listed |
| Medication Related Problems: |
| • drug without indication |
| • indication without drug |
| • wrong drug |
| • dose too low |
| • dose too high |
| • adverse drug reaction |
| • inappropriate adherence |
| • drug-drug, drug-disease, drug-food, and/or drug-laboratory interaction |