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Related Experiment Videos

Multidisciplinary program for detecting and evaluating adverse drug reactions.

M R Keith1, R A Bellanger-McCleery, J E Fuchs

  • 1Department of Pharmacy, University of Texas Medical Branch, Galveston 77550.

American Journal of Hospital Pharmacy
|September 1, 1989
PubMed
Summary
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A new adverse drug reaction (ADR) reporting system using nurses and pharmacists significantly increased ADR detection. This enhanced system improved ADR identification from 0.4 to 20 reports monthly, boosting patient safety.

Area of Science:

  • Pharmacovigilance
  • Healthcare Quality Improvement
  • Clinical Pharmacy

Background:

  • Traditional voluntary adverse drug reaction (ADR) reporting mechanisms in hospitals are often inefficient, yielding very few reports.
  • A 900-bed university hospital complex previously reported less than one ADR per month.
  • There is a need for more effective systems to identify and report ADRs to improve patient safety.

Purpose of the Study:

  • To describe a newly implemented ADR-reporting program.
  • To evaluate the effectiveness of a system involving quality assurance nurses and staff pharmacists in detecting and assessing ADRs.
  • To increase the rate of ADR reporting within a hospital setting.

Main Methods:

  • Implementation of a system where quality assurance nurses detect charted ADRs via concurrent chart review.

Related Experiment Videos

  • Staff pharmacists conduct follow-up chart reviews, collect data, and perform causality assessments using published algorithms.
  • In-service education for pharmacy and nursing staff on ADRs, with regular ADR committee meetings for quality assurance and discrepancy evaluation.

    • Main Results:

    • The new ADR-reporting program increased the average number of reported ADRs from 0.4 to 20 per month.
    • The system relies on concurrent chart review by nurses and detailed evaluation by pharmacists.
    • The program established a quality assurance process involving committee review and discrepancy analysis.

    Conclusions:

    • A collaborative system involving nurses for detection and pharmacists for evaluation significantly enhances ADR reporting rates.
    • This structured approach improves the identification of potential adverse drug events, contributing to better patient safety.
    • The program demonstrates a successful model for improving pharmacovigilance in a hospital environment.