Counseling patients about drug allergies in the inpatient setting

Johnson, Vivian; Croft, Carol L.; Crane, Vicki S.

doi:10.1093/ajhp/58.19.1855

Cited by 5 publications

(8 citation statements)

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“…sharing relevant information with the health professionals involved in formulating plans, e.g. by making sure that health care professionals know about any allergies or adverse reactions to medication; 33…”

Section: Resultsmentioning

confidence: 99%

“…US consumers surveyed about health quality and safety by AHRQ and Kaiser Box 1 Organizing framework for interventions intended to involve patients in patient safety Informing the management plan Helping to ensure the appropriate treatment plans are formulated by: † sharing relevant information with the health professionals involved in formulating plans, e.g. by making sure that health care professionals know about any allergies or adverse reactions to medication; 33 † making sure that a proposed plan is appropriate, e.g. by asking if there are any alternatives to the treatment recommended.…”

Section: By Sharing All Relevant Information With the Health Professimentioning

confidence: 99%

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Scoping Review and Approach to Appraisal of Interventions Intended to Involve Patients in Patient Safety

Peat

Entwistle

Hall

et al. 2010

J Health Serv Res Policy

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An approach for appraising interventions intended to promote patient involvement in patient safety should involve: identification of the routes by which interventions assume patients' actions might contribute to their safety; identification of the conditions that would need to be met for patients to behave and contribute as the interventions (implicitly) assume; examination of the extent to which the intervention supports fulfilment of those conditions; and consideration of the potential negative effects of the intervention.

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Section: Resultsmentioning

confidence: 99%

Section: By Sharing All Relevant Information With the Health Professimentioning

confidence: 99%

Scoping Review and Approach to Appraisal of Interventions Intended to Involve Patients in Patient Safety

Peat

Entwistle

Hall

et al. 2010

J Health Serv Res Policy

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“…13 The availability of drug allergy cards or bracelets which contain drug names and their allergic symptoms, do help patients to remember and prevent future exposure to the allergic drugs especially when patients are unable to communicate. 12 Pharmacists could encourage patients to always carry and present their drug allergy cards during routine service, while intensive counseling at the first exposure of drug allergy may provide better understanding in allergic drugs and other drugs with similar pharmacologic activity, mechanisms of drug allergy, and characteristics of allergic reactions to patients and family members, enabling greater understanding to prevent further occurrences. 12 , 13 Our study suggests that educational brochures should be provided for all drug allergy patients to promote knowledge and understanding of drug allergy, whereas pharmacist counseling should focus on patients with poor knowledge and behaviors related to drug allergy.…”

Section: Discussionmentioning

confidence: 99%

“…Small studies suggest that pharmacists providing counseling to patients about drug allergy and providing basic information about ADRs and their management, together with written information, could result in improved knowledge. 12 , 13 Neither of these studies assessed whether pharmacist counseling was more effective than written information alone or assessed behaviours related to drug allergy. This study, therefore, aimed to evaluate the effectiveness of management in improving knowledge and understanding about drug allergy and behavior-related to drug allergy cards in patients with a history of drug allergy.…”

Section: Introductionmentioning

confidence: 99%

Management for improving patients’ knowledge and understanding about drug allergy

Jarernsiripornkul¹,

Chaipichit²,

Chumworathayi³

et al. 2015

Pharm Pract (Granada)

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*Background: Drug allergy a serious adverse drug reaction commonly concerned in healthcare practice. Inadequate documentation and communication between health providers, and limited health literacy and knowledge in patients could contribute to the re-occurrence of allergic reactions. Objective: To evaluate the effectiveness of initiatives aiming to improve patients' knowledge, understanding and behavior in preventing recurrent drug allergy. Methods: A before-and-after study was conducted at an 800-bed university teaching hospital, involving patients with a history of drug allergy. Questionnaires, completed at baseline and one month after receiving information were used to compare knowledge and understanding of drug allergy and behaviors in relation to drug allergy cards. Patients in Group 1 received a brochure only, but patients in Group 2 also received a pharmacist counseling intervention in addition to the brochure. Outcomes were evaluated within intervention group and between intervention groups. Results: The study included 299 (30.4%) and 100 patients (100.0%) in Groups 1 and 2 respectively who completed the baseline questionnaire, of whom 179 (59.8%) and 96 (96.0%) completed the follow-up questionnaire. At baseline, higher educational levels and possession of a drug allergy card were significantly associated with better knowledge about drug allergy. After intervention, Group 2 had significantly greater increases in mean overall knowledge scores than Group 1 (p<0.01) and also greater increases in the proportions self-reporting carrying and presenting drug allergy cards (p<0.05 and p<0.01). Conclusions: Pharmacist counseling plus brochure may be more effective than brochure alone in promoting patients' knowledge of drug allergy and drug allergy card importance.

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“…Besides, alteration of renal function, effects on blood pressure, hepatic injury, and platelet inhibition due to long-term NSAID consumption may result in increased bleeding 19 . Drug allergy is a serious adverse drug reaction and commonly concerned in healthcare practice 20 . NSAIDs may cause allergic reactions such as skin rash and itchiness 18 .…”

Section: Discussionmentioning

confidence: 99%

Patientsâ€™ Knowledge, Attitude and Practice towards Painkillers: Tawau Hospital Experience

Cheah

Ting

2018

BJMS

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Pain management with analgaesics employs a multidisciplinary approach of clinicians towards patients. Nevertheless, preventing drug abuse and misuse in pain management is also an important goal. Understanding patientsâ€™ behaviour in the usage of painkillers may facilitate more effective communication and to educate them on the appropriate choice of painkillers. This study aimed to assess patientsâ€™ knowledge, attitude and practice towards painkillers. This was a questionnaire-based cross-sectional study conducted from February to May 2016 among patients in Tawau Hospital. Respondents were selected via convenience sampling and interviewed based on a questionnaire to assess their knowledge, attitude and practice towards painkillers. A total of 193 questionnaires with complete responses were analysed. Most of the respondents(60.1%) obtained their painkillers from public facilities. Generally, they were very satisfied with the painkillers that they had used (36.7%). However, most of them (75.0%) did not know the name of the ingredient of the painkillers that they had taken before. They were also not aware of the side effects (73.1%) and allergicreactions (64.8%) caused by painkillers. Most of the respondents (58.5%) had not been informed regarding the side effects of the painkillers by healthcare professionals. Only 25.0% of the respondents had been asked regarding their past medical history, past medication history and allergic history by healthcare professionals before a painkiller was recommended to them. This study highlights the need of continuous efforts by healthcare professionals to inform patients of the proper use and risks associated with painkillers to improve the quality use of painkillers.

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Counseling patients about drug allergies in the inpatient setting

Cited by 5 publications

References 0 publications

Scoping Review and Approach to Appraisal of Interventions Intended to Involve Patients in Patient Safety

Scoping Review and Approach to Appraisal of Interventions Intended to Involve Patients in Patient Safety

Management for improving patients’ knowledge and understanding about drug allergy

Patientsâ€™ Knowledge, Attitude and Practice towards Painkillers: Tawau Hospital Experience

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