Adverse Drug Reactions: Communications and Reporting — Hospital and Home Health Care Perspectives

Abstract

Emphasis on adverse drug reaction (ADR) monitoring and reporting in the hospital setting has spawned a number of model ADR programs across the country. Although the pharmacy department usually becomes the caretaker of such programs in the hospital, a multidisciplin ary approach may be the cornerstone to an effective and efficient program. In contrast, little information is available regarding ADR monitoring in the home setting. Developing and implementing an ADR monitoring program in the home health-care setting presents unique administrative and clinical challenges to home infusion providers. The decentralized nature of formalized home care emphasizes the need for open communication channels in all aspects of care, but particularly for the monitoring and reporting of ADRs. Establishing an effective ADR program in the home setting may optimize patient safety, and provide valuable information regarding the nature and significance of reactions that occur in this population. The University of Kansas has established a dedicated phone line which enables home health care professionals to monitor and report ADRs. The data collected in this pilot project is reviewed, with respect to the type of reaction and its degree of severity, patient outcome and the United States market life of drugs associated with these reactions.