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Serena Small

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  • OS30 - What's New in Medication Management (ID 51)

    • Event: e-Health 2019 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical and Executive
    • Presentations: 1
    • Coordinates: 5/29/2019, 10:30 AM - 12:00 PM, Room 200 C
    • OS30.03 - Developing ActionADE: Integrated Software for Adverse Drug Event Reporting (ID 515)

      Serena Small, Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute; Vancouver/CA

      • Abstract
      • Slides

      Adverse drug events (ADEs) are the harmful and unintended consequences of medication use, and are a leading cause of emergency department visits and hospital admissions in Canada. There is a strong need to bridge gaps in informational continuity of care related to ADEs. ActionADE is a user-driven software application that enables the documentation and communication of patient-specific ADE information across a patient?s circle of care, while also meeting national adverse drug reaction reporting requirements under Vanessa?s Law. The objective of this presentation is to report on the development, build, and pilot-testing of ActionADE completed to date.

      ActionADE was developed in conjunction with clinician end-users beginning in 2014. Using a participatory design and action research methodology, the design of ActionADE was informed by a systematic review of existing ADE reporting systems worldwide, extensive qualitative observations, workshops with clinicians, and paper- and web-based pilot testing in one acute care setting in British Columbia. Latest developments in this research program have culminated in the pilot testing of a standalone web-based version of the application among pharmacists. Consistent with previous phases of the research project, the research team has engaged with end-users through workshops, individual on-boarding, and qualitative data collection. This has enabled the iterative refinement of the system, identification of bugs and enhancements, and an understanding of impact on workflow. Utilization statistics were collected to evaluate use and report completion.

      ActionADE has been designed to integrate ADE documentation into existing clinical workflow processes, enabling multiple provider groups (e.g., pharmacists and physicians) to contribute information to the construction of possible ADE reports that may be completed over time and across care settings. The design process allowed us to mitigate social issues (e.g., uncertainty) and technical issues (e.g., appropriate data fields), resulting in software that is both clinically useful and user friendly, while also producing valuable ADE data as a byproduct of enhanced care. Utilization statistics from the pilot implementation phase show high uptake among users who have significantly increased documentation of ADEs through the use of ActionADE. Field completion and report completion rates are high. Early qualitative research enabled the identification and resolution of 28 software bugs and 74 enhancements. Users are satisfied with the clinical relevance and ease of use of ActionADE. Issues concerning data sources for pre-defined pick lists and user experience have been resolved.

      ActionADE is a robust, user-centered software. In the near future, ActionADE will be integrated into existing province-wide clinical information systems with the support of the provincial Ministry of Health and relevant health authorities. This will enable communication of ADEs across a patient?s circle of care, closing critical gaps in information sharing, which will ultimately contribute to the reduction of ADEs by preventing the re-dispensation of medications that have previously caused harm, while also resulting in cost avoidance.

      140 Character Summary:
      ActionADE is software developed to enable the documentation and communication of ADEs across a patient?s circle of care to close critical gaps in communication.

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