My Medicines — Patient Card
The WHO "5 Moments for Medication Safety" for the patient's pocket: what to ask when starting, taking, adding, reviewing and stopping a medicine — with a medicine list to carry
What it is
A two-sided A4 that folds to pocket size: the WHO 5 Moments questions on one side, a personal medicine list on the other. Given at discharge and at every outpatient visit.
Where to use it
Discharge, outpatient clinics, pharmacy. Every patient on three or more medicines. Evidence for: Hospital Standard 4 — medication safety; Standard 6 — aftercare and discharge information. Evidence for: Hospital Standard 4 — medication safety; Standard 6 — aftercare and discharge information. Evidence for: Hospital Standard 4 — medication safety; Standard 6 — aftercare and discharge information. Evidence for: Hospital Standard 4 — medication safety; Standard 6 — aftercare and discharge information. Evidence for: Hospital Standard 4 — medication safety; Standard 6 — aftercare and discharge information. Evidence for: Hospital Standard 4 — medication safety; Standard 6 — aftercare and discharge information. Evidence for: Hospital Standard 4 — medication safety; Standard 6 — aftercare and discharge information. Evidence for: Hospital Standard 4 — medication safety; Standard 6 — aftercare and discharge information. Evidence for: Hospital Standard 4 — medication safety; Standard 6 — aftercare and discharge information.
Translate and adapt
English master edition. Georgian and other translations are added as they are clinically reviewed. Any facility may translate, add its logo and adapt wording to local practice — keeping the ASF block, the source attribution and the licence line on the sheet. Clinical thresholds and drug doses must be confirmed against national protocols before use.
The same code is printed on the tool itself. Scan it in any facility to reach this page.
High-Alert Medicines — Double-Check Before You Give
Look-Alike / Sound-Alike Medicines — Facility List Template
Medication Reconciliation — Admission and Discharge
Medication Error and Near-Miss Report
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