THE IMPACT OF TRIGGERING TOOLS FOR IDENTIFYING ADRS IN SECONDARY CARE HOSPITALS
Keywords:
Adverse Drug Reactions; Conventional method; Global Trigger Tool; Positive Predictive Value; Trigger Tool MethodAbstract
Background: ADRs are leading causes of hospitalisation, resulting in morbidity and mortality. The study aims to evaluate the effectiveness of triggering tools for detecting ADRs in hospitals and to determine the preventability, causality, and severity of the identified ADRs. Results: 340 patients were included in the study using both the conventional method and the Trigger Tool Method. Using the conventional method, 63 ADRs were identified, whereas the Trigger Tool Method identified 145 triggers, of which only 71 ADRs were detected. The majority of ADRs were found to be possible reactions (34 [30.9%] for causality), mild reactions (65 [59.1%] for severity), and probably preventable (57 [51.8%]) for preventability and predictability assessment. Conclusion: The study demonstrates that, compared to the conventional method for ADRs, the predictive value of ADRs using the trigger tool was higher. Although the trigger tool can assist in easier identification, not all ADRs can be recognised.