Seven studies included admissions due to problems with patient adherence to medication. Four studies included only admissions caused by adverse drug reactions, whilst the remaining nine studies included a wider definition of admissions due to under- and overtreatment. Four studies included adults aged ≥ 65 years, whilst the remaining studies included adults of all ages. Five studies were conducted in the UK, two in Denmark, two in the USA, two in Australia, one in Canada and one in Italy. The search identified 13 papers which met the inclusion criteria. Percentage of admissions that were drug-related and preventable Researcher judgement of causality and preventability
Prospective nurse review of A&Erecords and follow-upof medical records ofpatients admittedĪll admissions via the emergency department on the first weekof each month
Majority judgement of two or three reviewers using ‘Naranjo algorithm’ and ‘Jones method’for causality and ‘Hallas criteria’ for preventability Medical and surgical wards in two hospitals (excluding obstetrics and gynaecology)Īll admissions except obstetric and gynaecology patients Selected medical recordreview and patient, relative or GPinterview byresearch nurse or pharmacist Prospective routine pharmacist review ofpatients.
#Two point hospital twitter verification
Researcher comparison of symptoms with known ADR profile of drugs, and then verification withconsultant,registrar orresearcher Prospective medical and nursing recordreviewĪcute geriatric, medical and heart care wardsin a 677-bedteaching hospitalĮmergency and scheduled admissions from primary care(readmissionsexcluded) Judgement of one reviewer using guideline criteria for causality and preventability Medical inpatient services of 769-bed general teaching hospital Prospective review of all drug charts,discharge sheets andselected medical records
Majority judgement of three reviewers used ‘modifiedHallas criteria’ for causality and ‘Hepler criteria’for preventability Prospective routine pharmacist review of patients.Pharmacist review ofselected medicalrecords, and patientand GP interview Sixty cases randomly selectedfor review bythree reviewers Judgement of one reviewer using ‘Hallas criteria’. Unscheduled admissions to medicalservices fromprimary care Majorityjudgement of four reviewers using ‘Hallas criteria’ for causality andpreventability Prospective medical record review andpatient, relative, general practitioner,or nurse interview Random number selection of 200 acute medical admissionsĪgreement of two reviewers using ‘Venulet and Ten Hams classification’ and ‘Naranjo’salgorithm’ toassess causality. Prospective medicalrecord review and patient and/or GPinterview, withfollow-up at5 monthsĪcute medical admissions units in two hospitals
Prospective routine pharmacist review of patients, registrarreview of computer record, and selectedmedical records andpatient interviewĪdmissions via Emergency Department lasting > 24 hĪgreement of two reviewers using modified ‘Karch & Lasagna criteria’ for causality, and specific criteriafor preventability Majority judgement of three independentreviewers using ‘Hallas criteria’ for causality and preventability Prospective medical record and nursingrecord review by apharmacist and patient interviewĬare of the elderly wards in a number of hospitalsĪdmissions to care of the elderly wards over a 4-week period for eachhospital Unknown numberof reviewers used ‘amended Hallas criteria’ for causality and specific criteriafor preventabilityĪDRUnder-treatmentOver- treatmentNon-compliance One acute 32-bed medical ward (including20 geriatricbeds) Prospective medical record review by apharmacist Two reviewers using ‘Hallas criteria’ for causality,severity andpreventabilityĪDRUnder-treatmentOver-treatmentNon-compliance Medical wards at a 500-bed public acute care hospital Prospective medical record review andpatient and/orrelative interview Majority clinical judgement of three reviewers Prospective medical record review with physician and patientinterviewĪll wards in a700-bed tertiary teaching hospital Method of assessment of causality and preventability
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