scholarly journals Characterization of serious adverse drug reactions as cause of emergency department visit in children: a 5-years active pharmacovigilance study

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Niccolò Lombardi ◽  
Giada Crescioli ◽  
Alessandra Bettiol ◽  
Ettore Marconi ◽  
Antonio Vitiello ◽  
...  
Keyword(s):  
Emergency Department ◽  
Adverse Drug Reactions ◽  
Emergency Department Visit ◽  
Drug Reactions

35 Implementation of a quality improvement initiative to reduce pain and anxiety associated with needle-related procedures in a Canadian paediatric emergency department

2021 ◽  
Vol 26 (Supplement_1) ◽  
pp. e26-e27
Author(s):  
Naveen Poonai ◽  
Karina Burke ◽  
Shaily Brahmbhatt ◽  
Leslie Boisvert ◽  
Sheena Belisle ◽  
...  
Keyword(s):  
Emergency Department ◽  
Adverse Drug Reactions ◽  
Steering Committee ◽  
Subject Area ◽  
Quality Improvement Initiative ◽  
Drug Reactions ◽  
Provider Education ◽  
Topical Anesthetic ◽  
Statistical Process ◽  
Support Unit

Abstract Primary Subject area Emergency Medicine - Paediatric Background Needle-related procedures such as intravenous (IV) insertion, venipuncture, and lumbar puncture (LP) are commonly performed in children, particularly in the emergency department (ED). Children consistently rate these needle-related procedures as very distressing. While topical anesthetics have been shown to be highly effective and are available, they are inconsistently used. The Children’s Comfort Promise was originally developed at the Minnesota Children’s Hospital. It requires nursing staff to use four strategies for children undergoing needle-related procedures: (1) topical anesthetic, (2) sucrose or breastfeeding if ≤ 12 months, (3) Comfort positioning (swaddling, skin-to-skin, or facilitated tucking if ≤ 12 months and sitting upright for children > 12 months), and (4) age-appropriate distraction. Objectives We sought to evaluate compliance with all 4 Comfort Promise strategies for managing children’s pain and anxiety during needle-related procedures in a Canadian paediatric ED. Design/Methods Implementation of The Comfort Promise in March 2020 included a focus group to perform a root cause analysis, designation of nurse champions, monthly steering committee and ED working group meetings, and didactic education sessions. Our institution’s decision support unit identified all encounters of children 0-17 years who underwent at least one needle-related procedure at our paediatric ED from January 1 to November 30, 2020. The outcome was compliance with all 4 Comfort Promise strategies. Balancing measures included adverse drug reactions and vasoconstriction. We used statistical process control to analyze the outcome from 2 months preceding and 7 months following implementation. Results From January 1 to November 30, 2020, 21,600 encounters were identified, of which 10,294/21,600 (47.7%) were female. Age ranged from 0-17 years with a mean (SD) of 6.9 (5.5) years. Needle-related procedures were performed in 730/21,600 (3.4%) encounters, most commonly IV insertion (289/730, 39.6%) and venipuncture for blood sampling (232/730, 31.8%). Half of all encounters had no compliance strategies electronically recorded (363/730, 49.7%). Compliance with all Comfort Promise strategies increased over the study period (Figure 1). Topical anesthetic increased from 3/35 (8.6%) to 35/83 (42.2%). Sucrose or breastfeeding increased from 0/6 (0%) to 2/16 (12.5%). Comfort positioning increased from 0/35 (0%) to 26/83 (31.3%). Distraction increased from 0/35 (0%) to 22/83 (26.5%). There were no adverse drug reactions or vasoconstriction. Conclusion Implementation of The Comfort Promise in a Canadian paediatric ED resulted in greater use of strategies, particularly topical anesthetic, to reduce needle-related distress in children. Ongoing compliance will depend on consistent electronic recording and provider education.

Rate, type, and cost of adverse drug reactions in emergency department admissions

2001 ◽  
Vol 12 (5) ◽  
pp. 442-447 ◽  
Author(s):  
Jean-Blaise Wasserfallen ◽  
Françoise Livio ◽  
Thierry Buclin ◽  
Laurent Tillet ◽  
Bertrand Yersin ◽  
...  
Keyword(s):  
Emergency Department ◽  
Adverse Drug Reactions ◽  
Drug Reactions ◽  
Rate Type

Characterization of Severe Adverse Drug Reactions at a Free‐Standing Children's Hospital

2019 ◽  
Vol 59 (12) ◽  
pp. 1569-1572 ◽  
Author(s):  
Diana Yu ◽  
Justin Sheets ◽  
Sarah Suppes ◽  
Jennifer Goldman
Keyword(s):  
Adverse Drug Reactions ◽  
Drug Reactions ◽  
Free Standing ◽  
Children's Hospital ◽  
Children’S Hospital

Hospitalizations because of Adverse Drug Reactions in Elderly Patients Admitted through the Emergency Department

Drugs & Aging ◽  
2009 ◽  
Vol 26 (6) ◽  
pp. 475-482 ◽  
Author(s):  
Pascale Olivier ◽  
Lionel Bertrand ◽  
Marie Tubery ◽  
Dominique Lauque ◽  
Jean-Louis Montastruc ◽  
...  
Keyword(s):  
Emergency Department ◽  
Elderly Patients ◽  
Adverse Drug Reactions ◽  
Drug Reactions

Patients with adverse drug reactions attending an emergency department

2009 ◽  
Vol 8 (2) ◽  
pp. 65-68
Author(s):  
Brian L Collits ◽  
Michael Kennedy ◽  
Michael Wu ◽  
James McIntoshDeceased
Keyword(s):  
Emergency Department ◽  
Adverse Drug Reactions ◽  
Drug Reactions

The Importance of the Pharmacist in Reporting Adverse Drug Reactions in the Emergency Department

2010 ◽  
Vol 50 (10) ◽  
pp. 1217-1221 ◽  
Author(s):  
Yael Ratz ◽  
Irene Shafir ◽  
Sofia Berkovitch ◽  
Moshe Sharristh ◽  
Moshe Jacoby ◽  
...  
Keyword(s):  
Emergency Department ◽  
Adverse Drug Reactions ◽  
Drug Reactions

scholarly journals Erratum to: Adverse Drug Reactions and Impaired Renal Function in Elderly Patients Admitted to the Emergency Department

Drugs & Aging ◽  
2013 ◽  
Vol 30 (12) ◽  
pp. 1043-1045
Author(s):  
Anders Helldén ◽  
Ulf Bergman ◽  
Mia von Euler ◽  
Maria Hentschke ◽  
Ingegerd Odar-Cederlöf ◽  
...  
Keyword(s):  
Emergency Department ◽  
Renal Function ◽  
Elderly Patients ◽  
Adverse Drug Reactions ◽  
Impaired Renal Function ◽  
Drug Reactions
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