Accuracy of best possible medication history documentation by pharmacists at an Australian tertiary referral metropolitan hospital.

Aim: To determine the quality of best possible medication history (BPMH) taking activities undertaken by pharmacists. To identify factors which impact upon erroneous documentation. To assess risks associated with erroneous documentation of BPMH by pharmacists.

Improving medication titration in heart failure by embedding a structured medication titration plan.

Background: To improve up-titration of medications to target dose in heart failure patients by improving communication from hospital to primary care.

Methods: This quality improvement project was undertaken within three heart failure disease management (HFDM) services in Queensland, Australia. A structured medication plan was collaboratively designed and implemented in an iterative manner, using methods including awareness raising and education, audit and feedback, integration into existing work practice, and incentive payments.