Data collection form for drugs on admission and at discharge from hospital

Contact information:  

UZ Brussel (university hospital)/Laarbeeklaan 101/1090 Brussel/Belgium

[email protected]


Originally developed by: UZ Brussel (Unit of Clinical Pharmacology and Pharmacotherapy)
Country of origin: Belgium
Year of development: 2007 (admission) and 2012 (discharge)
Last updated: Discharge tool received a last update in December 2012
Next update: Possibly, in function of user comments
Available in the following languages: Dutch only for the moment
Reason for not fulfilling the requirements: Not available in English

Type of tool: tool for information of patients and relatives, tool to generate the best possible medication list

Short description

The aim of both data collection forms is to ensure adequate, correct and complete information about medications at transition moments (mainly on admission and at discharge from hospital).
The admission tool is to be used in the hospital (by trained personnel) as a checklist to collect information from patients, their carers or community pharmacists/physicians on medications used at home/nursing home.

Target audience

The admission tool is to be used by hospital personnel (physician/pharmacist/nurse) to collect information on drugs used by the patient at home or in a nursing home.
The discharge tool is to be used by hospital personnel (physician/pharmacist/nurse) to summarize drug information for patients, community pharmacist and physicians at hospital discharge.

Applicability (setting e.g. inpatient care, outpatient care, long term care etc.)

Admission tool: inpatient care;
discharge tool: outpatient care

Information on how the tool has been applied/tested in practice

The admission tool was validated by pharmacists (Steurbaut et al., Ann Pharmacother. 2010 Oct;44(10):1596-603) and is routinely used with a high level of satisfaction.

The discharge tool is still in a test environment.

Needed time for implementation

Just some basic training is needed before being able to start working with both tools. However, some level of drug knowledge is necessary.

Strengths and limitations

Both tools were designed to minimize drug information gaps at transition moments (hospital admission and discharge) both for patients and healthcare workers.
Limitations are that they are not yet available in an electronic format (i.e. integrated in the patient’s electronic medical file) and at present only available in Dutch.

Additional references

Cornu et al., Ann Pharmacother. 2012 Jul-Aug;46(7-8):983-90
Discrepancies in medication information for the primary care physician and the geriatric patient at discharge.