Evaluation and Overview of the National Electronic Injury Surveillance System-Cooperative Adverse Drug Event Surveillance Project (NEISS-CADES)

Background: Adverse drug events (ADEs) are an important cause of patient injury. Although most medications are prescribed and used in the outpatient setting, prevention efforts focus on the inpatient setting, partly because of limited data on outpatient events. We describe and evaluate a new system...

Full description

Saved in:
Bibliographic Details
Published in:Medical care 2007-10, Vol.45 (10), p.S96-S102
Main Authors: Jhung, Michael A., Budnitz, Daniel S., Mendelsohn, Aaron B., Weidenbach, Kelly N., Nelson, Theresa D., Pollock, Daniel A.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adverse Drug Reaction Reporting Systems - organization & administration
Aged
Attitude of Health Personnel
Child
Child, Preschool
Electronic surveillance
Emergency departments
Emergency medical care
Emergency Service, Hospital - statistics & numerical data
Female
Humans
Infant
Injuries
Male
Medical records
Medical treatment
Medications
Middle Aged
Patient safety
Patient surveillance
Performance evaluation
Physical trauma
Physicians
Prescription drugs
Program Evaluation
Public health
Reproducibility of Results
Sensitivity and Specificity
Surveillance
United States - epidemiology
User-Computer Interface
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background: Adverse drug events (ADEs) are an important cause of patient injury. Although most medications are prescribed and used in the outpatient setting, prevention efforts focus on the inpatient setting, partly because of limited data on outpatient events. We describe and evaluate a new system for surveillance of outpatient ADEs treated in hospital emergency departments (EDs). Methods: We used guidelines for evaluating public health surveillance systems, developed by the Centers for Disease Control and Prevention, to assess the performance of the National Electronic Injury Surveillance System- Cooperative Adverse Drug Event Surveillance project (NEISS-CADES) from January 1, 2004 through December 31, 2004. Results: NEISS-CADES is a nationally representative surveillance system that identifies ADEs using ED clinical records. Of 10,383 reports in 2004, 100% listed patient age, sex, and disposition; 98% listed the implicated drugs. A 6-hospital evaluation of data quality, completeness, and other system attributes showed that NEISSCADES data accurately reflected clinical records with respect to patient age and sex (100%), primary diagnosis (93%), implicated drugs (93%), primary treatments (80%), and diagnostic testing (61%). Sensitivity of case identification was estimated to be at least 0.33; estimated positive predictive value was 0.92. Data collection does not require additional work by clinical staff and has been well accepted by participating institutions. Conclusions: NEISS-CADES provides detailed and timely information on outpatient ADEs treated in EDs and identifies specific drugs and circumstances associated with these injuries. Findings from NEISS-CADES can help design and prioritize patient safety interventions for outpatient ADEs.
ISSN:0025-7079
1537-1948
DOI:10.1097/MLR.0b013e318041f737