Australia National Safety and Quality Health Service (NSQHS) Standards Second Edition 4.05-4.09: A best possible medication history is taken and documented early, current orders are reconciled against it at presentation and transitions, allergies and adverse drug reactions are documented on presentation and during care including in the incident system, and adverse reactions are reported to the Therapeutic Goods Administration

What does 4.05-4.09 require?

Each patient's complete medicines history must be taken by a clinician and recorded at the start of care or as soon as possible, and current orders must be checked against it and the treatment plan with discrepancies resolved on arrival and whenever care changes hands. Allergy and adverse reaction history must be recorded at presentation, reactions that occur during care must go into the record and the incident system, and reactions must be reported to the national medicines regulator as it requires.