The HPRA encourages patients, carers and other members of the public to report suspected adverse reactions (side effects) to us. Show
It is important that you also contact your doctor or pharmacist if you think you may have experienced a side effect after using a medicine. They will tell you if you need any medical care. They will also consider if you need to change your treatment or if you need a different treatment. The HPRA has published an information page on side effects for patients and other members of the public on side effects. Reporting Suspected Adverse ReactionsMost of us will not experience any problems when using medicines. However, all medicines have some risks associated with their use and so a small number of people may experience an adverse reaction (also known as a side effect). What is an adverse reaction (side effect)?An adverse reaction is formally defined as a ‘response to a medicinal product which is noxious and unintended’. This definition includes any harm associated with the use of a medicine including use following overdose, misuse or error. What should I do if I think I may have experienced an adverse reaction (side effect)?If you are concerned that you have had a suspected adverse reaction to a medicine, you may need to contact your healthcare professional who can advise on any treatment that may be needed. They can also report the issue to the HPRA on your behalf. If you wish to directly report an adverse reaction you can use the HPRA’s online reporting service. Anyone can report issues relating to the safety of medicines to the HPRA. This includes patients, carers, other members of the public and healthcare professionals. How do I report an adverse reaction?You can report a suspected side effect in a number of ways:
How do I fill in an adverse reaction report form?Certain mandatory fields are required to successfully submit an adverse reaction report via the online systems. These include reporter details and a contact email address. The latter facilitates return of a unique report identifier number, as a confirmation of a successfully submitted report. The confirmation email from the HPRA will also contain a PDF version of the report submitted. In addition, the following minimum criteria must be included for a ‘valid’ adverse reaction report:
While the above information reflects the minimum criteria needed for a ‘valid’ adverse reaction report, additional information regarding details relating to the reaction such as relevant medical history, other medication(s) being taken, action taken with the medicine, the outcome of the reaction and any other relevant information are extremely helpful in the evaluation of the suspected adverse reaction. Once the report is reviewed by the HPRA, the reporter may be contacted for further follow up information that is considered to be significant to the evaluation of the suspected adverse reaction. Permission may also be requested to contact a healthcare professional directly for any further relevant information. Why is it important for me to report suspected adverse reactions?Patients are in an ideal position to identify the impact of medicines they have taken, particularly on their quality of life. Systems for patients/consumer reporting are an important tool to facilitate and encourage ‘spontaneous reporting’, which in turn contributes to the overall knowledge of the safety of a medicine and the patient experience. The patients’ role in reporting adverse drug reactions is a key element in building an improved system of pharmacovigilance and the participation of patients is now at the core of the new medicines safety monitoring in Europe. An adverse event is an incident that results in harm to the patient. Adverse events commonly experienced in hospitals by patients over 70 include falls, medication errors, malnutrition, incontinence, and hospital-acquired pressure injuries and infections. What we do or do not do to identify and respond to issues such as malnutrition, uncontrolled pain and unrecognised delirium can contribute to a patient experiencing an adverse event and, in turn, functional decline. Why is it important?Physical and cognitive functional decline is often unrelated to the primary reason a person presents to hospital and can have a significant impact on a person’s ability to perform activities of daily living.
How can you prevent an adverse event?Adverse events can be prevented through screening and early identification of the factors that put older people at risk.3,5 Patients aged 70 years and over should be screened to determine the risks of adverse events, and undergo a comprehensive interdisciplinary assessment where risk is identified. Effective communication with patients, their family, carers and other healthcare professionals is important in preventing adverse events for older people in hospital.5 A lack of communication and collaboration between health professionals is a common factor in the majority of adverse events.6 All staff have a shared role in preventing harm to older patients. Make sure you are familiar with your health service’s official policy regarding the prevention of adverse events. Screen and assess patients to minimise the risk of adverse events
Engage patients, families and carers in the care plan
Respond to a patient who has a high risk of experiencing an adverse event
Respond to a patient who has experienced an adverse event
Monitor a patient’s ongoing care
The National Safety and Quality Health Service Standards provide a useful resource for hospital staff to prevent adverse events and harm to the patients. 1. Barnett K, Mercer SW, Norbury M, Watt G, Wyke S & Guthrie B 2013, ‘Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study’, Lancet, 380(9836):37-43. 2. Morgan TK, Williamson M, Pirotta M, Stewart K, Myers SP & Barnes J 2012, ‘A national census of medicines use: a 24-hour snapshot of Australians aged 50 years and older’, Med J Aust, 196(1):50-53. 3. Australian Institute of Health and Welfare 2012, Australia's Health 2012, Australian Institute of Health and Welfare, Canberra, Australia. 4. Ehsani JP, Jackson T & Duckett SJ 2006, ‘The incidence and cost of adverse events in Victorian hospitals 2003–04’, The Medical Journal of Australia, 184(11):551. 5. Department of Health 2012, Best care for older people everywhere – The toolkit, State Government of Victoria, Melbourne. 6. Mansah M, Griffiths R, Fernandez R, Chang E & Thuy Tran D 2014, ‘Older folks in hospitals: the contributing factors and recommendations for incident prevention’, Journal of Patient Safety, 10(3):146-153 What is the nurse's role in adverse drug reactions?Nurses have a unique position in the healthcare team to monitor a patient's response to medication as they administer most drugs in healthcare settings and they are often present when an ADR happens and are involved in taking appropriate action to ameliorate the problem accordingly [17, 18].
What is the first step in management of adverse drug reaction?The first step in management is to withhold or withdraw the suspected drug. Further treatment should be decided on an individual basis. Always tell the patient of a suspected ADR so that they are able to take precautions in the future.
What is an adverse reaction to medication and how should it be reported?Adverse drug reactions where harm occurs as a result of a medication error are reportable as a Yellow Card or through the local risk management systems into the National Reporting and Learning System (NRLS). If reported to the NRLS, these will be shared with the MHRA.
What action should the nurse take to prevent adverse medication reactions?Outline. Provider-based approach. Avoid and be vigilant of high-risk drugs. Discontinue unnecessary drugs. Consider drugs as a cause of any new symptom. Avoid treating side effects with another drug. ... . System-based approach. Computerized physician order entry. Electronic medication administration record. Bar coding. Smart pumps.. |