Standards › Standard S1 › Forms
Form · HOS-FRM-006 · Version 1.0 · Approved by the ASF Expert Committee
Supports: System S1 (Hospital), criterion S1.7
Purpose
Compares the patient’s own medicines with the hospital list and records each decision.
How to complete
- Complete at admission, transfer and discharge.
- List each medicine and compare line by line.
- Ask the prescriber to decide on each discrepancy and record the decision.
Checks
| Check | Entry |
|---|---|
| Own medicines listed | Yes |
| Compared with the hospital list | Yes |
| Each discrepancy has a prescriber decision | Yes |
| Discharge list given to patient | Yes |
Evidence
| Reference | Note |
|---|---|
| E-007 | WHO Nine patient safety solutions (2007). |
| E-006 | ASF Policy Framework v1.2. Adapted. |
| E-009 | ASF Expert Committee consensus. |
Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | the date of approval | First version | set Expert Committee approval |
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References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)
- World Health Organization (2007). Nine patient safety solutions, including correct patient identification. Geneva: WHO. Open source (E-007)