Completeness and accuracy of adverse drug reaction documentation in electronic medical records at a tertiary care hospital in Australia

2021 ◽  
pp. 183335832110577
Author(s):  
Gina McLachlan ◽  
Airley Broomfield ◽  
Rohan Elliott
Keyword(s):  
Adverse Drug Reaction ◽  
Drug Reaction ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Healthcare Workers ◽  
Tertiary Care ◽  
Care Hospital ◽  
Cross Sectional ◽  
Metropolitan Hospital

Background: A large proportion of patients presenting to hospitals have experienced a previous adverse drug reaction (ADR). Electronic medical records (EMRs) present an opportunity to accurately document ADRs and alert clinicians against inadvertent rechallenge where there is a pre-existing reaction. However, EMR systems are imperfect and rely on the accuracy of the data entered. Objective: To ascertain the completeness of ADR documentation and the accuracy of the classification of ADRs as allergy versus intolerance in the EMR at a major metropolitan hospital in Australia. Method: Cross-sectional audit of the ADR field of the EMR for a sample of patients on four different wards over 3 weeks to ascertain the completeness of ADR documentation and the accuracy of classification of ADRs. Results: Of the 264 patients assessed, 102 (38.6%) had a total of 210 ADRs documented in the EMR. Of these, 105 (50%) were considered to have complete documentation; 63/210 (30.0%) were missing a reaction description and 88/210 (41.9%) were missing severity information. For those ADRs with a reaction description ( n = 147), 97 (66.0%) were considered to be appropriately classified as allergy or intolerance. Conclusion: Incomplete and inaccurate ADR documentation was common. These findings highlight a need for optimising ADR documentation to improve appropriate medication use in hospital. Implications: Improved EMR design and education of healthcare workers on the importance of complete and accurate documentation of reactions are needed to improve completeness and accuracy of ADR classification.

scholarly journals Adverse Drug Reaction Policy in a Tertiary Care Hospital

2015 ◽  
Vol 3 (1) ◽  
pp. 41-47
Author(s):  
V Aggarwal ◽  
Shakti Kumar Gupta ◽  
DK Sharma ◽  
S Arya ◽  
S Singh
Keyword(s):  
Adverse Drug Reaction ◽  
Drug Reaction ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Study Population ◽  
Personnel Paramédical

ABSTRACT Adverse drug reactions (ADRs) are a significant cause of morbidity and mortality and contribute to the incidence of adverse events, resulting in increased healthcare costs. Healthcare providers need to understand their role and responsibility in the detection, management, documentation, and reporting of ADRs. The purpose of this study is to provide guidelines regarding the procedure of reporting ADRs to hospital authority. It was a descriptive cross-sectional study carried out between April and August 2013. The study population included doctors, nursing personnel, paramedical staff and quality managers of tertiary care hospital from one public and two private hospitals. Interaction was done with study population against the back drop of the checklist and ADR policy was formulated. How to cite this article Singh S, Gupta SK, Arya S, Sharma DK, Aggarwal V. Adverse Drug Reaction Policy in a Tertiary Care Hospital. Int J Res Foundation Hosp Healthc Adm 2015; 3(1):41-47.

Knowledge and Barriers Among Physicians Toward Adverse Drug Reaction Reporting at a Tertiary Care Hospital in Saudi Arabia

2020 ◽  
pp. 001857872091038
Author(s):  
Dalal Abdulrazaq Al-Abdulkarim ◽  
Hisham S. Aljadhey ◽  
Mansour A. Mahmoud ◽  
Gregory A. Poff ◽  
Mohamed Azmi Hassali ◽  
...  
Keyword(s):  
Adverse Drug Reaction ◽  
Saudi Arabia ◽  
Drug Reaction ◽  
Spontaneous Reporting ◽  
Adverse Drug Reaction Reporting ◽  
Tertiary Care ◽  
Research Work ◽  
Care Hospital ◽  
Tertiary Referral Hospital ◽  
Cross Sectional

Background: Spontaneous reporting systems are essential as they help detect serious unknown adverse drug reaction (ADR). However, underreporting of ADR is a commonly associated problem. This research work aims to assess knowledge, barriers, and factors that encourage the reporting of ADR among physicians. Methods: A total of 600 physicians working at a tertiary referral hospital in Riyadh, Saudi Arabia, were included in this cross-sectional study. A pretested questionnaire was used. Results: Out of the 600 physicians, 240 (40%) completed the questionnaire. Most of the participants (85.4%) could correctly define ADR; nearly 75% physicians were unaware of the spontaneous reporting of ADR in Saudi Arabia. A total of 175 (72.9%) physicians had not reported any ADR among their patients in the last year; 40% of the physicians said that they did not report ADR because they were unaware of the online reporting of ADR. Providing guidelines and regular bulletins on the reporting of ADR is a critical aspect that encourages physicians to report ADR (51%). Education and training are the most recognized measures for improving the reporting of ADR. Conclusion: Physicians were adequately aware of ADR but inadequately aware of the reporting system and reporting authorities. Continuing medical education, training, and integration of the reporting of ADR into physicians’ various clinical activities may improve ADR reporting.

scholarly journals Knowledge, attitude and perception of physicians towards adverse drug reaction (ADR) reporting: a pharmacovigilance study

2017 ◽  
Vol 4 (6) ◽  
pp. 1685 ◽  
Author(s):  
Anjan Adhikari ◽  
Rania Indu ◽  
Moumita Ray ◽  
Sangita Bhattacharya ◽  
Rahul Biswas ◽  
...  
Keyword(s):  
Adverse Drug Reaction ◽  
Drug Reaction ◽  
Healthcare Professionals ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
Training Programme ◽  
Care Hospital ◽  
Cross Sectional ◽  
Global Database ◽  
Adr Reporting

Background: Contribution of physicians, in adverse drug reaction (ADR) reporting and monitoring, to develop a global database is enormously significant to ensure safety of medicine. But, in reality, due to lack of awareness among the healthcare providers, under-reporting of suspected ADRs is a major problem, especially in countries like India. Present study aimed to evaluate the knowledge, attitude, and practices (KAP) of the physicians regarding self-reporting of ADR in a tertiary care hospital in Kolkata, West Bengal, India.Methods: This was a cross-sectional, observational and questionnaire-based study involving physicians of different clinical departments. This questionnaire-based study was conducted to obtain the demography as well as information on knowledge, attitude and perception of physicians towards ADR reporting. Ethical clearance was obtained prior to start the study.Results: 50 doctors were included in the study after their verbal consent. It was revealed that average time taken to complete the answering of questionnaire by the physicians was 15 minutes. Among the study population (n=50), 54% of the participants were Postgraduate doctors and the rest 46% were graduates. 92% believed that it is necessary and would be beneficial for the patient to report ADRs. 74% also believed that ADR reporting is a professional obligation for doctors.Conclusions: Present study evaluated that majority of the healthcare professionals had good knowledge and attitude about pharmacovigilance and understand the need for reporting, but the rate of reporting was very low. More interactive training programme is needed to increase the awareness of reporting ADRs by healthcare professionals.  

scholarly journals Knowledge of Adverse Drug Reactions Reporting among Doctors and Nurses in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (233) ◽  
Author(s):  
Rekha Shah ◽  
Surya B. Parajuli ◽  
Suman Pokharel
Keyword(s):  
Adverse Drug Reaction ◽  
Drug Reaction ◽  
Adverse Drug Reaction Reporting ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Good Knowledge ◽  
Care Hospital ◽  
Cross Sectional ◽  
Reaction Reporting ◽  
Doctors And Nurses

Introduction: Doctors and nurses have a significant role in the detection of serious and unusual drug reactions. Effective implementation of an adverse drug reaction reporting system is required to ensure patient safety and quality care. This study’s objective was to find the prevalence of good knowledge of adverse drug reaction reporting among the Doctors and nurses working in a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted among doctors and nurses from 15 February 2020 to 15 July 2020 at Birat Medical College and Teaching Hospital. The convenience sampling method was used to select 192 study participants. A semi-structured questionnaire was used to know the knowledge concept of adverse drug reaction reporting. Ethical clearance was taken from IRC (PA-047/2076-77) of Birat Medical College and Teaching Hospital. Written informed consent was taken from each study participant. Collected data were entered in Microsoft Excel 2010 and analyzed by Statistical Package for the Social Sciences v23. Results: In total, 192 doctors and nurses, the questionnaires were distributed to 52 (27.1%) doctors and 140 (72.9%) nurses. The mean age of study participants was 28.14 years (SD ±4.5). To know the prevalence of knowledge, 15 knowledge related questions of adverse drug reaction had asked. The majority of doctors and nurses had good knowledge about adverse drug reaction reporting, 75% and 64%, respectively. Conclusions: Overall, doctors and nurses have had good knowledge of adverse drug reaction reporting. Data shows there is still more gap in training and experience on adverse drug reaction reporting systems.

scholarly journals Knowledge, attitude and practice of medical professionals towards adverse drug reaction reporting and pharmacovigilance in a tertiary care hospital: a cross sectional study

2018 ◽  
Vol 7 (3) ◽  
pp. 486
Author(s):  
Mangala Srinivas ◽  
Sangeeta Nath Sharma ◽  
Rajendra Holla
Keyword(s):  
Adverse Drug Reaction ◽  
Drug Reaction ◽  
Adverse Drug Reaction Reporting ◽  
Tertiary Care ◽  
Medical Professionals ◽  
Care Hospital ◽  
Cross Sectional ◽  
Reaction Reporting ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Background: The present study was planned to assess the knowledge, attitude and practice of healthcare providers regarding adverse drug reaction reporting and pharmacovigilance in a tertiary care hospital.Methods: The study was conducted in a tertiary care teaching hospital, it’s a observational, KAP cross-sectional questionnaire-based study. The KAP questionnaires was developed toward pharmacovigilance and ADRs and were used to assess the medical professionals.Results: Only 64% of doctors, 52% PG’s and 40% of nurses knew the correct knowledge regarding Pharmacovigilance (PhV). Regarding the attitude, all the respondents think reporting of ADR is a very necessary. 98% of doctors,80% of postgraduates and 96% of nurses have experienced ADR in the patient in their professional practice but reporting of same is very less. The factors discouraging them from reporting ADR’s was also assessed. 34% said difficult to decide whether ADR has occurred or not, 34% said lack of time, 17%- no remuneration and 15% said a single unreported case may not affect ADR database.Conclusions: This study demonstrated that knowledge and attitude towards pharmacovigilance is gradually improving among medical professionals, but unfortunately the actual practice of ADR reporting is still deficient among them.

scholarly journals Knowledge, attitude and practice towards pharmacovigilance among postgraduate medical students at a tertiary care hospital: a cross sectional questionnaire based study

2017 ◽  
Vol 6 (4) ◽  
pp. 968
Author(s):  
Vishnu K. ◽  
Mamatha K. R. ◽  
Jayanthi C. R.
Keyword(s):  
Adverse Drug Reaction ◽  
Drug Reaction ◽  
Medical Students ◽  
Healthcare Professionals ◽  
Tertiary Care ◽  
Care Hospital ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Validated Questionnaire ◽  
Training Programmes

Background: Adverse drug reaction (ADR) is major global health problem affecting both children and adults. ADRs are among the leading cause of mortality and morbidity leading to prolonged hospitalization. Hence, spontaneous reporting of ADRs by healthcare professionals forms the backbone of pharmacovigilance. Therefore, there is an urgent need for sensitization about drug safety monitoring among healthcare professionals (HCPs).Methods: A cross sectional questionnaire based study was conducted among 200 postgraduate medical students between April 2016 and May 2016 using a pre-validated questionnaire. Descriptive statistics was used for analysis.Results: Among 200 questionnaires distributed, only 150 provided responses reflecting a response rate of 75%. The postgraduates who understood the definition of adverse drug reaction and pharmacovigilance were 90% and 64% respectively. The most encouraging finding was 97% of postgraduates thought that reporting an ADR was necessary which in turn increases the patient safety. 60% postgraduates were unaware that the nurses and pharmacists also had the responsibility of reporting ADR. The postgraduates who encountered ADRs during clinical practice were 79% whereas reporting was only 2%.Conclusions: This study suggests that even though majority of postgraduates have better knowledge and attitude towards pharmacovigilance and ADR, the practice of reporting ADRs is inadequate. Therefore, there is an urgent need for educational intervention in the form of training programmes and continued medical education (CME) periodically to encourage ADR reporting among the postgraduates.

scholarly journals ANTIMICROBIAL-RELATED ADVERSE DRUG REACTION IN A TERTIARY CARE HOSPITAL

2017 ◽  
Vol 10 (8) ◽  
pp. 229
Author(s):  
Jindal M ◽  
Sharma Rk
Keyword(s):  
Adverse Drug Reaction ◽  
Drug Reaction ◽  
Spontaneous Reporting ◽  
Tertiary Care Hospital ◽  
Past History ◽  
Tertiary Care ◽  
Care Hospital ◽  
Beta Lactam ◽  
Active Monitoring ◽  
Beta Lactam Antibiotics

  Objective: The objective of the study was to evaluate the adverse drug reaction (ADR) related to commonly used antimicrobials in a tertiary care hospital.Methods: A prospective spontaneous reporting study involving, active methods (pharmacist actively looking for suspected ADRs) and passive methods (stimulating prescribers to report suspected ADRs) was carried out in all departments of a tertiary care hospital, for 1 year. Patients of all age groups were included in the study. The data for the study were taken from case sheets, investigation reports of patients who had experienced an ADR, personal interviews with reporting persons or clinicians, personal interviews with patient or patient’s attendant, past history of medication use, which were generally obtained from, prescriptions from the past, reports of medical and surgical interventions, referral letters, ADR reporting forms. Collected data were then analyze for causality assessment by Naranjo’s scale and severity assessment by Hartwig and Siegel’s scale.Result: During 1 year of study period, 75 ADRs related to antimicrobial were reported among 1354 patients who were given antibiotic for the treatment. The incidence rate of antibiotic was found to be 5.53%. The department that reported ADR was medicine (10.16%), ENT (4.6%), pediatric (8.12%), orthopedics (06.9%), surgery (06.9%), chest and tuberculosis (04.6%), obstetrics and gynecology (06.9%), dentistry (02.3%), and skin (10.16%). The most common ADRs were related to gastrointestinal tract; dermatological reactions were second in the list of antimicrobial drugs causing ADR. In this study, among antimicrobials, fluoroquinolones, and beta-lactam antibiotics were the most common drugs causing gastrointestinal and dermatological ADRs. There was no unknown ADR reported that may need to be further investigated through active monitoring. All patients recovered from ADRs without any complications. The causality was assessed by Naranjo’s scale and it revealed that out of 75 antibiotics related ADR 48 (64%) were possible, 27 (36%) were probable, 3 (4.00%) were definate, and 0% were unlikely. According to the Hartwig and Siegel’s scale, most of ADR were mild 45 (60%) and moderate 30 (40%) in nature.Conclusion: ADRs related to antimicrobials occurs frequently. Among antimicrobials, fluoroquinolones, and beta-lactam antibiotics were the most common drugs causing gastrointestinal and dermatological ADRs. The health-care system can promote the spontaneous reporting of antimicrobial ADR to pharmacovigilance center for ensuring safe drug use and patient care.

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