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KMID : 0869620220390030326
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Journal of Korean Society of Hospital Pharmacists
2022 Volume.39 No. 3 p.326 ~ p.340
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A Survey on Hospital Systems for Adverse Drug Event (ADE) History Information Sharing, Intervention, and Drug Safety Card Issue
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Doo Ko-Eun
Seok Jeong-Yeon
Cho Yoon-Sook
Jo Yun-Hee
Kang Rae-Young
Kim Hyun-Jee
Jin Hyun-Jung
Park So-Young
Choi Min-Jung
Seo Young-Eun
Moon Bo-Kyung
Choi Ji-Hong
Kang Min-Gyu
Kang Min-Kyoung
Min Mi-Na
Kim Woo-Gyeong
Kang Kyun-Hwa
Lee Kyung-Eun
Kim Su-Jin
Lee Jae-Chun
Kim Yun-Hee
Kim Hong-Tae
Yu Ki-Dong
Sep Yoon-Yee
Lee Kyung-Un
Sohn Hyun-A
Ah Young-Mi
Lee Ju-Yeun
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Abstract
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Background : This study aimed to investigate the current status of adverse drug event (ADE) history sharing, intervention, and drug safety card issue system in medical institutions.
Methods : A total of 126 member hospitals of the Korean Society of Health-System Pharmacists (response rate 25.9%) participated in this survey.
Results : The survey results showed that 87.3% of the respondents had an ADE report system and most of them assessed causality (83.9%) and severity/seriousness (67.8%). About 85.6% of hospitals had a clinical alert or information system for prescriptions related to previous ADE history. Hard stop, soft stop, and passive alerts (information only) were generated in 11.0%, 38.1%, and 62.7% of the respondent hospitals, respectively. The criteria for generating alerts were mostly based on causality or severity/seriousness. Among hospitals with an ADE report system, 41.5% had a system issuing drug safety cards (Adverse drug reactions card, ADRs card). Among hospitals issuing ADR cards, 71.4% and 51.0% used causality and severity/seriousness assessment on the decision to issue, respectively. Frequent drug classes for which ADR cards were issued were contrast agents, antibiotics, and non-steroidal anti-inflammatory drugs. Identified barriers to implementing the ADR card issue system were the absence of standard guidelines, lack of awareness, and shortage of manpower.
Conclusion : ADE report system was well established in 87% of respondent hospitals but around 40% of them had a system for issuing ADR cards. To extend the issuance and use of ADR cards, it is necessary to develop a standard procedure for recording, reporting ADRs, and issuing ADR cards.
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KEYWORD
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Adverse Drug Reaction, ADE report system, Drug Safety Card, ADR card
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