Postadmission drug and allergy histories recorded by a pharmacist

Cradock, James C.; Whitfield, Gary R.; Menzie, James W.; Fortner, Clarence L.

doi:10.1093/ajhp/29.3.250a

Cited by 3 publications

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“…22,23 Drug histories taken by pharmacists have more complete information on drugs and the presence of allergies. [24][25][26] This is not surprising as pharmacists are medication experts and are ideal for verifying patients' allergy histories. 3,24 When pharmacists assumed responsibility for completing allergy histories, 97% of patients had complete records compared to 49% in a control ward.…”

Section: Discussionmentioning

confidence: 99%

Patients' Understanding of Drug Allergy and Documentation—Is There a Link?

Sim

Barras

Cottrell

2005

Pharmacy Practice and Res

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Background: Re-exposure to a drug to which one is allergic is a preventable adverse drug event. There is a reliance on the patient to provide accurate information on their allergies for the purpose of complete documentation. Aim: To investigate the relationship between patients' understanding of their drug allergy and documentation of their allergy status in their hospital records. Method: A structured interview of inpatients identified whether they had a drug allergy. Patients were then assessed on their ability to distinguish the symptoms of an allergic reaction from those of an adverse effect and stratified into groups based on their level of understanding. Review of drug charts and medical records identified both the presence and quality of documentation. Results: Of the 250 patients interviewed, 95 (38%) had previously experienced a true allergic reaction to a drug. A good understanding of the symptoms associated with an allergic reaction was demonstrated by 48 (51%). 50 (53%) patients had their allergy documented on their medication chart and 69 (73%) in their medical records. 18 (19%) patients had no documentation of their allergy status. There was a trend that good understanding of allergy may lead to improved completeness of documentation but this did not reach statistical significance. Conclusion: Patients' understanding of drug allergy improved the quality of documentation. System changes need to ensure proper training of staff to take and record drug allergies. J Pharm Pract Res 2005; 35: 276-8.

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Section: Discussionmentioning

confidence: 99%

Patients' Understanding of Drug Allergy and Documentation—Is There a Link?

Sim

Barras

Cottrell

2005

Pharmacy Practice and Res

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Drug allergies in the surgical population

et al. 1994

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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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Postadmission drug and allergy histories recorded by a pharmacist

Cited by 3 publications

References 0 publications

Patients' Understanding of Drug Allergy and Documentation—Is There a Link?

Patients' Understanding of Drug Allergy and Documentation—Is There a Link?

Drug allergies in the surgical population

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

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