Evaluation of the Electronic Adverse Drug Event Management System

Yen, Yu Hsuan; Kuo, Li Jen; Hsu, Min-Huei; Li, Yu-Chuan; Cheng, Kuei-Ju

doi:10.1016/j.jecm.2010.10.002

Cited by 9 publications

(4 citation statements)

References 20 publications

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“…In the study by Bracchi et al, the assessment of any positive impact of awarding continuing medical education credits to the general practitioners (GPs) who reported was complicated by the fact that educational interventions were also used 34 . Two studies involving hospital physicians and other HCPs also included the introduction of an electronic reporting system in addition to the award of continuing education credits for completing a training module 35 or a fee 36 so the separate effect of the incentive could not be ascertained. An initiative to improve spontaneous ADR reporting by hospital physicians in Spain also involved a range of other interventions so the impact of the financial remuneration given (5% to 7% of the physician's salary) could not be separately determined 37 .…”

Section: Resultsmentioning

confidence: 99%

Improving the spontaneous reporting of suspected adverse drug reactions: An overview of systematic reviews

Routledge

Bracchi

2023

Brit J Clinical Pharma

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To conduct an overview of systematic reviews examining interventions to stimulate spontaneous reporting of suspected adverse drug reactions (ADRs) by healthcare professionals (HCPs) and/or patients/carers. Methods: Systematic reviews published since 1 January 2000 were identified and the included publications categorized in relation to the 4Es (education, engineering, economics and enforcement).Results: Almost all studies were aimed at HCPs. Educational initiatives were most often used and, in most studies, were associated with improvements in quantity and/or quality of reports, at least in the short term. Lectures/presentations and regular reminders (eg, verbal or by e-mail) were the educational methods most often identified by systematic reviews. Engineering initiatives were also generally effective, including improving the availability of reporting forms, electronic ADR reporting, modification of reporting procedures/policies or the reporting form and assistance to complete the form. Evidence for the benefit of economic incentives (eg, monetary rewards, lottery tickets, days off work, "giveaways" and educational credits) was often clouded by the potential effects of other concomitant initiatives, and any possible associated improvements often disappeared rapidly after incentives were discontinued. Conclusion:Educational and engineering strategies appear to be the interventions most often associated with improvements in reporting rates by HCPs, at least in the short to medium term. However, the evidence for sustained impact is weak. The available data were insufficient to clearly identify the separate impact of economic strategies. Further work is also needed to examine the effects of these strategies on reporting by patients, carers and the public.

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Section: Resultsmentioning

confidence: 99%

Improving the spontaneous reporting of suspected adverse drug reactions: An overview of systematic reviews

Routledge

Bracchi

2023

Brit J Clinical Pharma

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“…Reports for adverse drug reactions must be simple and quick to complete, and support clinical decisions at the point of care. Although studies of successfully implemented reporting systems are sparse, Yen and colleagues 10 reported increases in the number of events documented and decreases in the number of preventable events following introduction of an electronic reporting system. Key factors for successful implementation are the system itself, extensive involvement by clinicians (i.e., physicians, pharmacists and nurses), and the implementation process.…”

Section: Key Pointsmentioning

confidence: 99%

Can reporting of adverse drug reactions create safer systems while improving health data?

Hohl

Lexchin

Balka

2015

CMAJ

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“…Several interventions have been attempted internationally to improve documenting and reporting of ADRs, with reasonable success. 23,24,25,26 The advent of electronic ADR reporting systems was found to increase interdisciplinary involvement in documenting and reporting ADRs and improved communication between HCPs. 24 Although the transition from paper-based records to electronic health records has been implemented in many countries, with associated reductions in the incidence of ADRs having been reported, 25 paper-based patient medical records are still widely used in South Africa’s public healthcare sector.…”

Section: Introductionmentioning

confidence: 99%

“…23,24,25,26 The advent of electronic ADR reporting systems was found to increase interdisciplinary involvement in documenting and reporting ADRs and improved communication between HCPs. 24 Although the transition from paper-based records to electronic health records has been implemented in many countries, with associated reductions in the incidence of ADRs having been reported, 25 paper-based patient medical records are still widely used in South Africa’s public healthcare sector. In the South African context, there is a lack of information in the published literature regarding the incidence of antipsychotic-induced ADRs, whilst no research appears to have been conducted on the level of ADR documentation in the clinical records.…”

Section: Introductionmentioning

confidence: 99%

Documentation of antipsychotic-related adverse drug reactions: An educational intervention

Purcell

McCartney

Boschmans³

2019

South African Journal of Psychiatry

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BackgroundAntipsychotic agents are associated with harmful adverse reactions which impact negatively on patient adherence and clinical management. Accurate and complete documentation of signs and symptoms in the clinical notes is an important means of communication between healthcare providers, and an essential component in the management of antipsychotic-induced adverse drug reactions.AimTo determine the impact of an educational intervention on the incidence and extent of antipsychotic-induced adverse drug reaction documentation in patient medical records.SettingThe research was conducted in an acute care, public sector psychiatric facility in the Eastern Cape province of South Africa.MethodsA quasi-experimental, before and after method was used, which focused on an educational intervention. The study design consisted of three phases: pre-intervention, intervention and post-intervention. A clinical audit was conducted, reviewing 102 patient medical records in the pre-intervention phase and a further 102 patient medical records in the post-intervention phase, in order to determine the impact of the intervention on the frequency and extent of documentation of suspected antipsychotic-induced adverse drug reactionsResultsFollowing the educational intervention, documentation of adverse drug reactions to antipsychotic drugs increased from 66 instances in the pre-intervention phase to 82 instances in the post-intervention phase. A statistically significant increase (Pearson’s Chi-square p < 0.05) was observed in the number of patient medical records that identified suspected adverse drug reactions.ConclusionThe educational intervention was found to increase the incidence of documentation of adverse drug reactions, and increased awareness of the potential adverse drug reactions associated with antipsychotic drugs following the intervention.

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Evaluation of the Electronic Adverse Drug Event Management System

Cited by 9 publications

References 20 publications

Improving the spontaneous reporting of suspected adverse drug reactions: An overview of systematic reviews

Improving the spontaneous reporting of suspected adverse drug reactions: An overview of systematic reviews

Can reporting of adverse drug reactions create safer systems while improving health data?

Documentation of antipsychotic-related adverse drug reactions: An educational intervention

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