What information should the change log contain when a prescription is modified?

• A. Date and time of the change; changes made; pharmacist making the change
• B. Date and time of the change; changes made; prescriber making the change
• C. Date of birth; changes; pharmacist making the change
• D. Change reason; patient name; pharmacist making the change

Answer: (A)

When a prescription is modified, the record should provide an auditable trail of what happened, when it happened, and who carried it out. The essential elements are the exact date and time of the change, a precise description of what was altered in the prescription, and the identity of the person who implemented the modification. In many pharmacy settings, the pharmacist is the one who makes the change, so noting the pharmacist ensures clear accountability and traceability for patient safety and regulatory compliance. Other details like patient birth date or name aren’t the specific evidence of the modification itself, and while the reason for a change can be helpful, it doesn’t replace the need for a time stamp, a clear description of the changes, and the person who performed them.