Medication safety in Hospital in the Home: closing the documentation gap

Medication safety in Hospital in the Home: closing the documentation gap
Published on  
Sep 14, 2026
   •   2 min read

By Luke Benson. Last reviewed 13 September 2026.

Hospital in the Home (HITH) is one of the fastest growing models of acute care in Australia. State governments are investing to move bed capacity into the community, and the evidence for selected patients is consistent: outcomes equivalent to or better than inpatient care, at a fraction of the cost.

Medication safety is the persistent weak point. The Australian Commission on Safety and Quality in Health Care has long identified transitions of care, including discharge into a home-based program, as a leading source of medication-related harm. In the ward there is a bedside record and a second pair of eyes. In the home, the record is often written up afterwards, on a different system, by a clinician who has already moved to the next patient.

The gap is a documentation gap before it is a clinical one. If the visit, the clinician and the time are not recorded at the point of care, the hospital cannot see that the scheduled visit happened, and the next clinician cannot rely on what the last one did.

What closes it:

  • A record made at the patient’s bedside, at the time, identifying the clinician and the visit.
  • The record flowing into the hospital’s clinical system through standard interfaces, so the next clinician can see that the visit happened, and when.

Service confirmation, the same discipline Support at Home now requires of home care providers, does this for HITH. The QR code at the patient’s home becomes the point-of-care record for every clinical visit.

How DidYouGo fits. Clinicians scan a QR code at the patient’s home to record the visit, the clinician and the time. Records flow to the hospital’s electronic medical record over HL7 and FHIR, with live integrations to InterSystems TrakCare and IRIS for Health.

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