CONCLUSION
Our findings revealed that medication-related information in medical
records was incomplete and inconsistent in the clinical notes of the
three studied professions, especially in the pharmacists’ documentation.
These written communication failures may compromise patient safety,
considering that medical records should legally describe healthcare
professionals’ work processes. Once this study found several gaps, we
highlight an alert for failures in these professionals’ practices.
Future studies should add depth to these discussions, investigating the
consequences of interprofessional communication in patient care.