Drug allergy documentation-time for a change?
Summary of "Drug allergy documentation-time for a change?"
Objective of the study To audit patients' allergy documentation in a large rural hospital an to make recommendations about accurate drug allergies in hospital settings. Setting a 257 bed large hospital and fully integrated health service in Australia, providing a range of services including; medicine, surgery, aged care, cancer care, mental health, maternity and rehabilitation. Method A retrospective design was used to fulfil the aims of this study. Patient medical records were randomly selected and checked for allergy documentation over a 6 month period. Results A total of 521 patients' medical records were reviewed. Of all the medical records examined in total, 269 (52%) had no allergy, while 252 (48%) reported some kind of allergy. Overall, only three patients (0.6%) had their allergy details fully and accurately recorded in the three places audited and they are the front cover of the patients' notes, the admission notes and the drug chart. Conclusion Many preventable medical errors are caused by poor documentation which is often due to lack of drug allergy information. All health professional should be more pro-active in determining the manner of any drug allergy or adverse drug reactions (ADR) along with the extent of the reaction.
Affiliation
Faculty of Medicine, Nursing and Health Sciences, School of Rural Health, Monash University, Ollerton Rd, Moe, VIC, 3825, Australia, hanan.khalil@med.monash.edu.
Journal Details
This article was published in the following journal.
Name: International journal of clinical pharmacy
ISSN: 2210-7711
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/21614630
- DOI: http://dx.doi.org/10.1007/s11096-011-9525-y
Medical and Biotech [MESH] Definitions
Terfenadine
A selective histamine H1-receptor antagonist devoid of central nervous system depressant activity. The drug was used for ALLERGY but withdrawn due to causing LONG QT SYNDROME.
Vasculitis, Leukocytoclastic, Cutaneous
Disorder characterized by a vasculitic syndrome associated with exposure to an antigen such as a drug, infectious agent, or other foreign or endogenous substance. Its pathophysiology includes immune complex deposition and a wide range of skin lesions. Hypersensitivity or allergy is present in some but not all cases.
Drug Incompatibility
The quality of not being miscible with another given substance without a chemical change. One drug is not of suitable composition to be combined or mixed with another agent or substance. The incompatibility usually results in an undesirable reaction, including chemical alteration or destruction. (Dorland, 27th ed; Stedman, 25th ed)
Drug Administration Schedule
Time schedule for administration of a drug in order to achieve optimum effectiveness and convenience.
Psychotherapy, Brief
Any form of psychotherapy designed to produce therapeutic change within a minimal amount of time, generally not more than 20 sessions.
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