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Medication Safety, v3
Documentation of a patient’s known adverse drug reactions (ADRs)
CI 3.1: Known ADRs documented in current medication chart (H)
Rationale
The purpose of ADR documentation is to avoid further harm to patients who have previously
experienced an ADR to that (or similar) medication. Data from NSW audits of the National
Inpatient Medication Chart (NIMC) show that completion of ADR documentation occurs 49-85%
of the time. Incidents involving medication administration to patients with a known ADR to that
medication continue to occur. Prevention of such errors depends on current and complete
information being available at the time of prescribing, dispensing and administration.
Numerator
Denominator
Total number of patients whose known ADRs are documented on the current medication
chart
Total number of patients in the sample
Year
Dimensions of care: Accessibility Appropriateness Continuity
Effectiveness Quality Improvement and Risk Safety
Desirable level: Low High Not specified
Type of Indicator: Process Outcome Structure
No.
HCOs
Total
numerator
Total
denominator
Rate #
Rate#
(20)
Rate #
(80)
Centile
Gains
Stratum
Gains
Outlier
Gains
2009 49 6,877 9,526 72.2 63.5 95.4 2,208 2,033 1,425
2010 43 7,210 8,191 88.0 74.3 97.3 756 356 415
2011 57 14,572 15,674 93.0 83.7 99.0 950 612 570
#per 100 patients
In 2011 there were 91 submissions from 57 HCOs. The annual rate was 93.0 per 100 patients.
Variation between strata
Rates by Public / Private
Year
Stratum
No.
HCOs
Total
numerator
Total
denominator
Stratum
rate #
Standard
error
Stratum
gains
2011 Private 33 10,688 11,023 96.9 1.10
Public 24 3,884 4,651 83.7 1.70 612
#per 100 patients
Australasian Clinical Indicator Report 2004–2011 Page 5
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