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mmsbaner

Research Article

Medicine and Medical Sciences 7(7): 082-086, July 2019
DOI: 10.15413/mms.2019.0112
ISSN 2682-5759
2019 Academia Publishing

Abstract

 


Patient history and medical record: Proper solution from accurate problem identification

 

 

Accepted 17th July, 2019

 

Abdul Kader Mohiuddin

Department of Pharmacy, World University of Bangladesh, 151/8, Green Road, Dhanmondi, Dhaka – 1205, Bangladesh.
 


Clinical record keeping is a fundamental part in great expert practice and the conveyance of value healthcare. Despite the type of the records (for example electronic or paper), great clinical record keeping should empower coherence of consideration and should improve correspondence between various healthcare experts. Medication histories have generally been reported in the 'Medication history' area of a specialist's clerking; if pharmacists recognized any blunders with this rundown, they would more often than not record these in ensuing advancement notes. Medication histories are significant in forestalling remedy mistakes and subsequent dangers to patients. Apart from avoiding remedy blunders, precise medication histories are likewise helpful in identifying drug-related pathology or changes in clinical signs that might be the aftermath of medication treatment. A decent medication history ought to incorporate all presently and as of late endorsed drugs, past ADRs including hypersensitivity reactions, any OTC medications, including herbal or alternative medicines, and adherence to treatment.

Key words: Clinical record keeping, hospital, patients, remedy blunders.

 

 

This is an open access article published under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

 

Cite this article as:

 

Mohiuddin AK (2019). Patient history and medical record: Proper solution from accurate problem identification. Med. Med. Sci. 7(7): 082-086.

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