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    Qual Saf Health Care. 2004 Jun;13(3):181-5.

    Indicators for preventable drug related morbidity: application in primary care.

    Morris CJ, Rodgers S, Hammersley VS, Avery AJ, Cantrill JA.

    School of Pharmacy and Pharmaceutical Sciences, University of Manchester, Manchester M13 9PL, UK. caroline.j.morris@man.ac.uk

    Comment in:

    AIM: To apply in practice a series of validated indicators for preventable drug related morbidity (PDRM). DESIGN: A pilot study to identify retrospectively potential PDRM events over a 2 year 3 month time frame using the MIQUEST computer software program. SUBJECTS AND SETTING: The electronic patient record of all patients aged 18 years and over in nine English general practices. OUTCOME MEASURES: The number of potential PDRM events identified, as defined by the indicators. RESULTS: Five hundred and seven potential PDRM events were identified from 49 658 electronic patient records, giving an overall incidence of 1.0%. A small number of the indicators (n = 4) accounted for approximately 60% of the events, while for many indicators few events were identified. The most common events related to the use of non-steroidal anti-inflammatory drugs in patients with congestive heart failure or hypertension, lack of monitoring in patients prescribed angiotensin converting enzyme inhibitors, and the use of hypnotic-anxiolytic agents. CONCLUSIONS: A small number of indicators contributed to the majority of the PDRM events. Interrogation of electronic patient records in primary care using computerised queries shows potential for detecting PDRM.

    PMID: 15175487 [PubMed - indexed for MEDLINE]

    PMCID: 1743841

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