A retrospective audit of best possible medication histories (BPMH) and communication by pharmacist with patients from remote areas.

Miss Phoebe Thompson1, Dr Alice Gilbert1, Ms Bhavini Patel1, Ms Jackie Crofton1, Ms Tristen Pogue1

1Royal Darwin Hospital Pharmacy, Tiwi, Australia


Aim: To determine patient demographics, BPMH and pharmacist communication practises to primary care providers for patients admitted from remote regions to a tertiary teaching hospital.

Methods: Hospital admission and medication management software were used to conduct a retrospective audit of patient demographics and BPMH conducted for patients admitted from 2/9/17 to 29/9/17. Patients admitted on the weekend and those without electronic medication charts were excluded. The Rural Generalist Pharmacist conducted semi-structured interviews with hospital pharmacists to gather current communication methods and information sources to complete a BPMH. The results were thematically interpreted.

Results: There were 3037 patients admitted over the period with 938 (31%) patients admitted from remote regions. There was little difference in the completion rates of BPMH for remote patients (35%) compared to the general population (32%).

The following themes were identified from the semi-structured interviews; many hospital pharmacists do not have a clear understanding of medication supply in remote areas; the two sources used for BPMH did not always include the patient; and there was large variation in processes used to collect information and communicate with primary care.

Discussion/ recommendations:

Additional work will be conducted to develop a streamlined approach for process of communication and prioritisation of remote patients which meet the needs of the primary health care providers. This audit identified the need for education to hospital pharmacists on the complexities of medicine management for remote patients.


The First Rural Generalist Pharmacist at Royal Darwin Hospital.

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