Development of a useful system for Pre-AVOID case reports and efficient sharing of the pharmaceutical care information

Abstract

Pre-AVOID (be prepared to avoid the adverse drug reaction) refers to pharmaceutical care meant for preventing adverse effects or disadvantages for patients on medication. Pre-AVOID case reports should be shared among pharmacists and other clinical staff members to ensure proper use of medicines and patient safety.

Thus, we developed a system for storing conventional pre-AVOID case reports and ensured that these reports were securely shared in the pharmaceutical department of Kyusyu Kosei-Nenkin Hospital. Since the system had a summary template, the pharmacists' burden of making reports reduced. In addition, we created a database for accumulating case reports, and this database was used to share the case reports with pharmacists on a regular basis or to extract important case reports for presentation to the other clinical staff members.

Between June and December 2010, 129 pre-AVOID cases were reported. 92 cases were reported by pharmacists in wards, 33 from dispensary, and 4 from the medical rounds made by the team. As a result of pre-AVOID, 30 patients with chronic kidney disease received proper dose according to their renal function, 16 drug interactions were prevented, 12 prescriptions were corrected because they were different from patient-brought-drug, and adverse drug effects were detected at an early stage in 7 patients. All the pharmacists reported their pre-AVOID cases in this system.

We constructed an efficient pre-AVOID case report system and used the information for qualitative pharmaceutical care.