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Modified Criteria for Preventability of Adverse Drug Reaction (ADR)

Purpose: To evaluate a patient with an adverse drug reaction (ADR) based on a modification of the criteria of Shumrock and Thornton.

Evaluation

Are you evaluating a patient who has had an adverse drug reaction?

Was the ADR an allergic reaction?

Did the patient have a past history of allergy to the drug?

Did the patient have a past history of the same reaction to the drug?

Was the use of the drug inappropriate and unnecessary in the patient?

Was the dose, frequency or route of administration for the drug inappropriate for the patient?

Was there a failure to perform therapeutic drug monitoring or other testing that would have prevented the ADR?

Did testing show the presence of a toxic serum concentration?

Was the ADR probably due to a known drug interaction?

Did poor compliance with therapy cause the ADR?

Was an intervention that could have prevented the ADR not given to the patient?

Was a measure given to the patient to prevent the ADR inadequate and/or inappropriate?

Did someone fail to heed a finding that would have predicted the ADR?

Did the ADR because of a problem in drug administration (leak at infusion site, etc)?

Results

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Specialty

Objective

ICD-10