Standards › Standard 59 › Forms
Form · OMS-FRM-002 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 59.4
Purpose
Records the medicines review and any change made at each outpatient visit.
How to complete
- Review and reconcile the medicines at the visit.
- Record any change, the reason and who was told.
- Record whether an interpreter was offered and used.
Checks
| Check | Entry |
|---|---|
| Medicines reviewed and reconciled | Yes |
| Change made and reason | Yes |
| Patient and pharmacist told (yes or no) | Yes |
| Interpreter offered and used (yes or no) | Yes |
Evidence
| Reference | Note |
|---|---|
| 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 |
E-learning for this document
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)