All questions are shown as received by the Trust.
Q1 Trust Name:
Q2 Type of Healthcare Facilities
Q3 Demographic of Hospital Care
Q4 Respondent’s Role in the Trust:
Q5 Does your Trust use electronic patient records (EPR)?
Q6 Which EPR system does your Trust use?
Start of Block: Section 2: Allergy Recording System
Q7 Does the EPR system used by your Trust include a specific section for recording food, drug, latex, and other allergies?
Q8 If yes to question 7, how is the initial allergy information typically entered into the system? (Select all that relevant)
Q9 If yes to question 7, who is responsible for updating and/or checking allergy information in the patient’s electronic record? (Select all that apply)
Q10 How is the allergy information flagged or highlighted in the patient’s records to alert healthcare providers?
Q11 What training, if any, is provided to staff on the correct recording of allergies in patient records?
Q12 If training is provided on allergy documentation, does it specifically cover different types of allergies in the training materials?
Q13 Does your Trust have a Local Guideline or Standard Operating Procedure (SOP) in place covering allergy documentation on the EPR?
Q14 If yes to Question 13, does this guideline/SOP include documentation for allergens below? (Select all that relevant)
Q15 Does your hospital have access to specialist allergy advice for paediatric patients?
Q16 Does your hospital have access to specialist allergy advice for adult patients?
Start of Block: Section 3: Allergy incidents
Section 3: Incident Section 3: Patient Safety Incidents In this section, we would like to gather some information about patient safety incidents related to allergies in hospital, for example patients who have been administered penicillin antibiotics when they have a penicillin allergy. We would like information on up to 10 cases each for both drug allergy and food or non-drug allergy incidents, prioritised by severity of harm, followed by the most recent incidents.
Our local risk team recommends that you gather the following information for your incident reporting system before answering the following questions:
1. Drug allergy incidents- Allergen, Age, Level of harm
2. Food and other non-drug allergy incidents- Allergen, Age, Reactions, If reported as serious incident, Level of harm, Is the allergen previously documented in patients’ note, Is the the allergen correctly documented on EPR
3. Common causes identified on food and other non-drug allergy incidents reported.
Tips:
We recognize that many Trusts may not have a specific category for food and other non-drug allergies in their incident reporting portals. However, we have identified a few related categories that are often associated with the documentation of these incidents, including:
1. Food allergens incidents:
– Insufficient help with eating and drinking
– All other medication incidents (errors with prescribing, administration, follow-up etc.)
2. Medication allergen incidents:
– All other medication incidents (errors with prescribing, administration, follow-up etc.)
– Other injury/accident
– Inadequate or inappropriate medical care
3. Other search terms including- “anaphylaxis”, “allergy”, “food allergy”, “allergic”, “urticaria”, “urticarial”, “hives”, “angioedema”, “anaphylactic”, “non-drug allergy”, “adrenaline”, “wheezing”, “stridor”, “EpiPen”, “antihistamine”
4. Consider other search terms for non-drug allergy incidents including “Latex” , “Chlorhexidine” , “Povidone iodine” , “Macrogol”, “PEG-polyethylene glycol” , “Polysorbate 20”, “Polysorbate 80” , “Mannitol” , “EDTA” , “Tromatemol”,”Trismatemol”, “Metacresol” , “Arginine”
Q17 Does the incident reporting platform have a specific category for recording food or other non-drug allergy incidents?
Q18 In the last 10 years, has your Trust recorded any incidents where a patient was administered a food, drug, or other substance (e.g., latex) they were known to be allergic to?
Q19 If yes to question 18, how many such incidents have been reported in the last 10 years? [Numerical Response]
Q20 If yes to question 18, please indicate the number of incidents for each category: [Numerical Response]
Q21 Considering the start date of your EPR system, how many years’ worth of incident data have you been able to search for this survey? Ideally, up to 10 years. (e.g. 2014 – 2024)
Q22 For reported DRUG ALLERGY incidents, what are the drugs involved, age group (≤17 or >17 years), and level of harm (no harm, low harm, moderate harm, severe harm or death), listing up to 10 cases prioritized by severity of harm, followed by the most recent incidents?
Q23 For reported FOOD and OTHER NON-DRUG ALLERGY incidents, what are the allergens involved, age (confirm age via clinical record if required), reactions, if serious incident reported and level of harm (no harm, low harm, moderate harm, severe harm or death), listing up to 10 cases prioritized by severity of harm, followed by the most recent incidents?
Please indicate the total cases below if more than 10 cases were reported.
Q24 For FOOD AND OTHER NON-DRUG ALLERGY incidents, how many of the incidents was the allergen clearly documented in patients notes/correspondence prior to the incident? Please insert the number of cases involved in each category. (e.g. 0 – 100)
Q25 For FOOD AND OTHER NON-DRUG ALLERGY incidents, how many of the incidents was the allergen correctly documented on the relevant field in EPR prior to incident (Cerner / Epic / Other)? Please insert the number of cases involved in each category. (e.g. 0 – 100)
Q26 What were the causes identified in the food or other non-drug incidents? (Multiple answers allowed)
Allergy Recording in Electronic Patient Records (EPR).281124.docx