Table 3.
System method | Characteristics of the system |
Characteristics of the study |
Results On represcription after the occurrence of an ADE |
Reference | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Documentation of ADE |
Availability ADE information | Country | Design | Setting | Population |
||||||||
By whom | When | How | O/V^ | N = Baseline/intervention | Mean age | Gender %F |
|||||||
Allergy bracelets and allergy field on drug order | Pharmacy (gets information from physician and nurse) | At admission | A red bracelet for people with an allergy: patient name and medicine on it. Introduction of an allergy field on each drug order |
O | Inside hospital | Canada | Pre-post intervention | General hospital | NR | NR | NR | No results | Liguori [1967] |
ADE labels | Physician Pharmacist Nurse |
During admission | ADE labels on the cover of medical records or drug charts | V | Inside hospital | Australia | Retrospective | Hospital | 587 records reviewed | NR | NR | In 31 (20%) of identified ADRs patients were represcribed the culprit medicine despite a ADR label. | Dartnell et al. [1994] |
Interview by pharmacist | Pharmacist | Within 24 hours after admission | After an interview by the pharmacist a note was made in the medical record and the allergy label on front was corrected | O | Inside hospital | USA | Descriptive | 14 Wards and one outpatient clinic of a hospital | 195 patients | NR Range 17-87 | 64 | No results | Pilzer et al. [1996] |
Bracelets and allergy box on drug charts | Nurse (bracelets) Pharmacist (allergy box) |
At admission | White identification bracelets for every patient and red bracelets for allergic patients. Red allergy box on front of drug chart. |
O | Inside hospital | UK | Two cross-sectional studies, pre-post intervention | 436-Bed general hospital | 186/250 patients | 66.8/68.7 | 62.9/54 | No results | Ismail et al. [2008] |
Allergy information on drug charts and note in medical record | Physician | Before prescription | Allergy information on drug charts and note in medical record | O | Inside hospital | UK | Descriptive | 2 Oncology wards of a university hospital | NR | NR | NR | No results | Mawby [2006] |
ADE, adverse drug event; NR, not reported.
V, voluntary; O, obligatory.