30 allergy history - 医療事故情報収集等事業 · 2017-03-31 · with previous known...
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Twelve cases of administration of drug for which there was a known allergy history, have been reported. Among these, eight cases of administration of contraindicated drug occurred due to drug allergy information not described in the predetermined site on the medical chart, but described in different site on the medical chart or other documents, have been reported (information collection period, from January 1, 2006 to January 31, 2009; the information is partly included in "Medical Adverse Event Information to Be Shared" in the 12th Quarterly Report). Administration of allergic drug to patient with previous known allergy history ◆ Regarding cases of administration of drugs for which there was known allergy history, cases where the drug allergy information was not confirmed, and cases where description of the drug allergy information was inadequate, have also been reported. Sites where drug allergy history was described No.30, May 2009 Medical Safety Information, Project to Collect Medical Near-Miss/Adverse Event Information; No.30, May 2009 Japan Council for Quality Health Care Medical Safety Information Project to Collect Medical Near-Miss/ Adverse Event Information Cases of administration of contraindicated drug occurred due to drug allergy history not described in the predetermined site on the medical chart have been reported. • Progress note on a medical chart • Patient interview sheet • Outpatient's pre-examination card • Referral form posted to the outpatient's medical chart
Transcript of 30 allergy history - 医療事故情報収集等事業 · 2017-03-31 · with previous known...
Twelve cases of administration of drug for which there was a known allergy history, have been reported. Among these, eight cases of administration of contraindicated drug occurred due to drug allergy information not described in the predetermined site on the medical chart, but described in different site on the medical chart or other documents, have been reported (information collection period, from January 1, 2006 to January 31, 2009; the information is partly included in "Medical Adverse Event Information to Be Shared" in the 12th Quarterly Report).
Administration of allergic drug to patientwith previous known allergy history
◆ Regarding cases of administration of drugs for which there was known allergy history, cases where the drug allergy information was not confirmed, and cases where description of the drug allergy information was inadequate, have also been reported.
Sites where drug allergy history was described
No.30, May 2009
Medical Safety Information, Project to Collect Medical Near-Miss/Adverse Event Information; No.30, May 2009
Japan Council for Quality Health Care
Medical SafetyInformation
Project to Collect Medical Near-Miss/Adverse Event Information
Cases of administration of contraindicated drug occurred due to drug allergy history not described in the predetermined site on the medical chart have been reported.
• Progress note on a medical chart
• Patient interview sheet
• Outpatient's pre-examination card
• Referral form posted to the outpatient's medical chart
Administration of allergic drug to patientwith previous known allergy history
When the patient was hospitalized last time, physician A described an allergic reaction to Cravit on the progress record of the electronic chart, but did not input the allergy information in the predetermined site on it. Consequently, physician B in charge of the patient prescribed Cravit to the patient.
Case
No.30, May 2009Medical SafetyInformation
Project to Collect Medical Near-Miss/Adverse Event Information
Project to Collect Medical Near-Miss/Adverse Event Information
Preventive measures taken at the medical institution in which the event occurred.
Clarify when, who, and where to describe drug allergy information (including whether having allergy or not) on patient's medical chart.
Division of Adverse Event PreventionJapan Council for Quality Health Care1-4-17 Misakicho, Chiyoda-ku, Tokyo 101-0061 JAPANDirect Tel:+81-3-5217-0252 Direct Fax:+81-3-5217-0253http://www.jcqhc.or.jp/html/index.htm
* As part of the Project to Collect Medical Near-Miss/Adverse Event Information (a Ministry of Health, Labour and Welfare grant project), this medical safety information was prepared based on the cases collected in the Project as well as on opinions of “Comprehensive Evaluation Panel” to prevent occurrence and recurrence of medical adverse events. See quarterly reports and annual reports posted on the Japan Council for Quality Health Care website for details of the Project.http://www.med-safe.jp/
* Accuracy of information was ensured at the time of preparation but can not be guaranteed in the future.* This information is neither for limiting the discretion of healthcare providers nor for imposing certain obligations or
responsibilities on them.
