Why should I keep a medication list?

I commonly hear from patients that they do not need to keep a medication list because that information is in their "medical record". Unfortunately, this is not the case as most patients see multiple providers that do not share common medical records. For example, you cardiologist may have a different chart than your internist. In addition, patients take a variety of non-prescription (over-the-counter) products, herbals, and dietary supplements. Even when providers have a medication, this list is often what is prescribed vs. what the patient is actually taking.

One of the best things you can do as a patient is to keep an updated list of your medications in your wallet/purse.

The list should include the name, dose, how you take it, why you take it, and who told you to take it. Your list should be updated every time there is a change in your medications.

There are a number of websites that have templates you can use.

Safe Care Wisconsin

Safe Medication

Institute for Safe Medication Practices

UW Health

When I interview patients admitted to the hospital where I work, I find that on average there are 2-10 errors found between what the doctor orders and what the patient is actually taking at home when admission orders are written. The main source of this error is that patient's do not have an accurate list of medications with them and the doctor must rely on what information they have which is often out of date and incomplete.

These errors can include but are not limited to:

• ordering a drug that has stopped
• not ordering a drug that is being taken
• ordering the wrong dose
• ordering a drug that has already been taken today
• ordering a medication that has caused allergic reactions in the past

Any of these errors can complicate your admission and in some cases lead to death. Taking the time to create and update your list of medications is one of the best things you can do for your health.