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15:50 Oct 13, 2022 |
Spanish to English translations [PRO] Medical - Medical (general) / screening for adverse events | |||||||
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| Selected response from: Helena Chavarria Spain Local time: 22:00 | ||||||
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Summary of answers provided | ||||
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5 | alert/alerting drugs |
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3 +2 | trigger drugs |
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3 | indicator drugs |
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Summary of reference entries provided | |||
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This might help. |
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Discussion entries: 1 | |
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alert/alerting drugs Explanation: https://pubmed.ncbi.nlm.nih.gov/2893422/ |
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trigger drugs Explanation: Trigger tools Triggers are used as a proactive tool for identifying adverse drug events. Triggers can be changes in a patient’s clinical condition, an abnormal labora-tory test or a prescription for a drug which might prompt investigation into a medicine-related cause of the event. Medicines which might be triggers for adverse drug events include vitamin K to reverse overanticoagulation in patients receiving warfarin, glucagon for insulin-induced hypoglycaemia, naloxone for opioid toxicity and flumazenil for oversedation with benzodi-azepines. Pharmacists should be prompted to investigate the reason why trigger drugs are prescribed and report any adverse drug reactions or medi-cation errors identified. Similarly, abnormal laboratory results may indicate medication-related problems. Elevated serum potassium levels may indicate inappropriate use of potassium-sparing diuretics and rapid falls in haemoglo-bin may indicate gastrointestinal bleeding in a patient receiving non-steroidal anti-inflammatory medicines. Pharmacists can use triggers to identify risks with medicines proactively, prevent patient harm by contributing to changes in medication regimens and report adverse incidents. https://www.pharmacy180.com/article/identifying-risk-1658/ King's College Hospital NHS Foundation Trust in London is using a list of trigger drugs (drugs often used to treat patients after an adverse drug event) as a way to identify adverse drug events. Details of the scheme were reported to the conference by Georgina Boon, a pharmacist, and Gillian Cavell, deputy director of pharmacy at the trust. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2018798/ -------------------------------------------------- Note added at 2 hrs (2022-10-13 18:19:10 GMT) -------------------------------------------------- Medication Safety pharmacists at King’s College Hospital are sent a daily ‘trigger report’ listing adult inpatients who have been prescribed and administered trigger drugs on our electronic prescribing and medicines administration system (EPMA) https://www.eahp.eu/sites/default/files/di-024_2.pdf -------------------------------------------------- Note added at 1 day 4 hrs (2022-10-14 20:48:40 GMT) -------------------------------------------------- I'm glad you've found it useful. |
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Reference: This might help. Reference information: IHI Trigger Tool for Measuring Adverse Drug Events Institute for Healthcare Improvement (in partnership with Premier, Inc., San Diego, California, USA) Cambridge, Massachusetts, USA The use of "triggers," or clues, to identify adverse drug events (ADEs) is an effective method for measuring the overall level of harm from medications in a health care organization. The Trigger Tool for Measuring Adverse Drug Events provides instructions for conducting a retrospective review of patient records using triggers to identify possible ADEs. This tool includes a list of known ADE triggers and instructions for measuring the number and degree of harmful medication events. The tool provides instructions and forms for collecting the data you need to measure ADEs per 1,000 Doses and Percent of Admissions with an ADE. https://www.ihi.org/resources/Pages/Tools/TriggerToolforMeas... -------------------------------------------------- Note added at 1 hr (2022-10-13 17:35:31 GMT) -------------------------------------------------- 6.2.5 Adverse drug event trigger tools The trigger tool uses an efficient sampling technique to identify potential adverse events through an audit of medical records. Each tool includes a limited number of triggers that signal the most common types of adverse events or those that are most likely to cause serious harm. Triggers are included based on a literature review, expert opinion and testing for feasibility. When a trigger is found, the chart is reviewed to determine whether an adverse event has occurred. There are three types of triggers: 6. Identifying and reporting medication errors 36 Reporting and learning systems for medication errors: the role of pharmacovigilance centres 1. use of specific drug antidotes used to treat ADEs, for example, the use of vitamin K to treat over-anticoagulation with warfarin, or the prescription of flumazenil for over-sedation with benzodiazepines; 2. results from laboratory tests that may indicate an ADE; and 3. clinical events that may indicate an ADE. Reporting and learning systems for medication errors: the role of pharmacovigilance centres WHO Library Cataloguing-in-Publication Data Reporting and learning systems for medication errors: the role of pharmacovigilance centres. 1.Medication Errors – prevention and control. 2.Pharmacovigilance. 3.Drug Monitoring. I.World Health Organization. The reference above is a downloaded document published by the WHO. -------------------------------------------------- Note added at 2 hrs (2022-10-13 18:10:48 GMT) -------------------------------------------------- Detecting hypoglycaemia using electronic trigger drug alerts The Pharmacy Medication Safety Team, working together with the EPMA team have designed a daily report to list details of ‘trigger’ drugs administered to inpatients at King’s College Hospital. The report is used to identify patients administered glucagon to aid identification of severe hypoglycaemic events. Electronic records of patients are retrospectively reviewed by pharmacists to ensure these events have been detected and acted on by non-specialist teams. https://www.kingshealthpartners.org/assets/000/000/576/KHPJ4... I would use '"trigger"' drugs'. |
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