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Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2019.
Inconsistent checking for and consideration of drug allergy alerts can diminish the safety of prescribing. This report from a multistakeholder work group provides evidence-based safe practices and recommendations for improvement, including standardizing documentation practices, actionable decision support, monitoring of alert effectiveness, and patient engagement.
Cases & Commentaries
- Web M&M
Matthew J. Doyle, MBBS; April 2017
Prior to undergoing a CT scan, a patient with no allergies documented in the electronic health record (EHR) described a history of hives after receiving contrast. During a follow-up clinic visit, the patient inquired whether this contrast reaction was listed in the EHR. Investigation revealed that it had been removed from the patient's profile, thus leaving the record with no evidence of allergy to contrast.
ISMP Medication Safety Alert! Acute Care Edition. December 4, 2014;19:1-6. March 26, 2015;20:1-4.
This newsletter series reports on 2 years of data collected during a national effort to collect vaccine administration errors. The first article summarizes information about the types of vaccine errors reported and why they occur. The second article discusses risks during vaccine use and offers recommendations to prevent them.
Journal Article > Study
Farooq M, Kirke C, Foley K. Ir J Med Sci. 2008;177:243-245.
Nearly one in three patients presenting for elective surgery did not have adequate documentation of drug allergies in this Irish study.
Journal Article > Commentary
Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies.
Cresswell KM, Sheikh A. J Allergy Clin Immunol. 2008;121:1112-1117.e7.
This article analyzes how technology such as barcoding, RFID (radiofrequency identification), and computerized alerts can prevent administration errors in patients with identified medication allergies.