Program to remove incorrect allergy documentation in pediatrics medical records

Bouwmeester, Marie-Chantale; Laberge, Nathalie; Bussières, Jean-François; Lebel, Denis; Bailey, Barbara; Harel, François

doi:10.1093/ajhp/58.18.1722

Cited by 22 publications

(25 citation statements)

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“…Furthermore, the documentation of allergies to drugs, foods and chemicals also increased significantly. This finding, which is in agreement with that of Massey and Bouwmeester et al, clearly underscored the critical role of pharmacists in preventing inadvertent prescription of medicines patients may be allergic to 12,28-30…”

Section: Discussionsupporting

confidence: 91%

Pharmacists´ participation in the documentation of medication history in a developing setting: An exploratory assessment with new criteria

Yusuff

Tayo

Aina

2010

Pharmacy Practice (Internet)

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ObjectiveTo assess the impact of pharmacists’ participation on the frequency and depth of medication history information documented in a developing setting like NigeriaMethodThe study consisted of two phases. The first phase was a baseline cross-sectional assessment of the frequency and depth of medication history information documented by physicians in case notes of systematic samples of 900 patients that were stratified over 9 Medical outpatients Units at a premier teaching hospital in south western Nigeria. The second phase was an exploratory study involving 10 pharmacists who conducted cross-sectional medication history interview for 324 randomly selected patients.Results49.2% of patients, whose medication history were documented at the baseline, by physicians, were males; while 50.3% of patient interviewed by pharmacists were male. Mean age (SD) of males and females whose medication histories were documented by physicians and pharmacists were 43.2 (SD=18.6), 43.1 (SD=17.9) years and 51.5 (SD=17.6), 52.1 (SD=17.4) years respectively. The frequency of medication history information documented by pharmacists was significantly higher for twelve of the thirteen medication history components (P < 0.0001). These include prescription medicines; over the counter medicines; source of medicines; adverse drug reactions; allergy to drugs, allergy to foods, allergy to chemicals; patient adherence; alcohol use; cigarette smoking; dietary restrictions and herbal medicine use. The depth of medication history information acquired and documented by pharmacist was significantly better for all the thirteen medication history components (P<0.0001).ConclusionPharmacists’ participation resulted in significant increase in frequency and depth of medication history information documented in a developing setting like Nigeria. The new medication history evaluation criteria proved useful in assessing the impact of pharmacists’ participation.

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Section: Discussionsupporting

confidence: 91%

Pharmacists´ participation in the documentation of medication history in a developing setting: An exploratory assessment with new criteria

Yusuff

Tayo

Aina

2010

Pharmacy Practice (Internet)

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“…However, when a proper diagnostic work-up was carried out, hypersensitivity could be excluded in most patients and was uncovered in only three of 60 cases (5%). A careful examination of clinical records can help to discard the label of hypersensitivity in numerous patients [18,22,23]. This was the case in 21 of 60 (35%) children in our survey.…”

Section: Discussionmentioning

confidence: 80%

Drug allergy claims in children: from self‐reporting to confirmed diagnosis

Gomes

Fonseca

Araújo

et al. 2007

Clin Experimental Allergy

147

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“…This finding highlights the need for direct communication of a proven PST tolerance with the primary care physician or LTCF provider, which was not part of our initial intervention. Previous studies have described the benefit of removing incorrectly reported allergies from community pharmacy records as well . Simply recording it into a transfer summary may not suffice, as LTCF providers may not read, or misread, the PST result.…”

Section: Resultsmentioning

confidence: 99%