Abstract
BackgroundThe "Put Prevention into Practice" campaign of the US Public Health Service (USPHS) was launched with the dissemination of the Clinician's Handbook of Preventive Services that recommended standards of clinical care for various prevention activities, including preventive clinical strategies to reduce the risk of adverse drug events. We explored whether nonprescribing clinicians such as chiropractors may contribute to advancing drug safety initiatives by identifying potential adverse drug events in their chiropractic patients, and by bringing suspected adverse drug events to the attention of the prescribing clinicians.MethodsMail survey of US chiropractors about their detection of potential adverse drug events in their chiropractic patients.ResultsOver half of responding chiropractors (62%) reported having identified a suspected adverse drug event occurring in one of their chiropractic patients. The severity of suspected drug-related events detected ranged from mild to severe.ConclusionsChiropractors or other nonprescribing clinicians may be in a position to detect potential adverse drug events in the community. These detection and reporting mechanisms should be standardized and policies related to clinical case management of suspected adverse drug events occurring in their patients should be developed.
Highlights
The “Put Prevention into Practice” campaign of the US Public Health Service (USPHS) was launched in 1994 with the dissemination of the Clinician’s Handbook of Preventive Services that recommended standards of clinical care for various prevention activities
We used the USPHS Clinician’s Handbook of Preventive Services (1st edition, 1994) as source material to identify a set of prevention activities with potential relevance to chiropractic clinical practice, such as counseling chiropractic patients about physical activity, nutrition, or smoking cessation [1]
All survey questions had been prevalidated by pilot-testing on key informants identified through chiropractic leadership rosters of the Congress of Chiropractic State Associations (COCSA), the Federation of Chiropractic Licensing Boards (FCLB), and the National Board of Chiropractic Examiners (NBCE)
Summary
The “Put Prevention into Practice” campaign of the US Public Health Service (USPHS) was launched in 1994 with the dissemination of the Clinician’s Handbook of Preventive Services that recommended standards of clinical care for various prevention activities. We used the USPHS Clinician’s Handbook of Preventive Services (1st edition, 1994) as source material to identify a set of prevention activities with potential relevance to chiropractic clinical practice, such as counseling chiropractic patients about physical activity, nutrition, or smoking cessation [1]. The “Put Prevention into Practice” campaign of the US Public Health Service (USPHS) was launched with the dissemination of the Clinician’s Handbook of Preventive Services that recommended standards of clinical care for various prevention activities, including preventive clinical strategies to reduce the risk of adverse drug events. We explored whether nonprescribing clinicians such as chiropractors may contribute to advancing drug safety initiatives by identifying potential adverse drug events in their chiropractic patients, and by bringing suspected adverse drug events to the attention of the prescribing clinicians
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