TMC sees more active ADR reporting
Since 2010, the number of adverse drug reactions reported almost doubled from 28 to 45 events (see graphs).
This just shows that staff are becoming more aware of ADRs and are recognizing the importance of reporting them.
The Therapeutics Committee would like to recognize the following staff for reporting adverse drug reactions.
They may claim their simple gift from the Medical Quality Improvement Office as a token of appreciation for their continual support of the hospital’s medication safety program.
Allen Mark Victor G. Roa, RN – Nursing Services
Andrea Marhta A. Jusay, RN – Nursing Services
Angelica S. Rasgo, RN – ER
Annie Lyn M. Malit, RN – ER
Dennis M. Guevarra, RN – Nursing Services
Earvin Simone T. Querrer, RN – ER
Emily Rose Nery, MD – Anesthesiology
Gerardo M. Briones, MD – ICU
Irene B. Aquino, RN – Delivery Suites
Jan Francis Desiderio, RN – Nursing Services
Jasper Q. Castillo, RN – Nursing Services
Jenneth A. Dantis, RN – Nursing Services
Joan Maureen Ignacio, RN – Nursing Services
John Paul A. Borillo, RN – Nursing Services
Kathlina L. Simangan, RN – ACSU
Leah Peralta, RN – Nursing Services
Ma. Carmel Rayos Del Sol, RPh – Pharmacy
Ma. Iris Cruz, RPh – Pharmacy
Maria Leonora B. Mendoza, MD – Medical Services
Mary Grace C. Manalili, RN – Nursing Services
Mary Litonjua, MD – Anesthesiology
Nino Lew M. Mateo, RN – ER
Patricia D. Quitoriano, RN – Nursing Services
Presyl Sagun Ragonjan, RN – Nursing Services
Teresa Rehan Espiritu, RN – Nursing Services
The Medical City Therapeutics Committee Lecture on Adverse Drug Reactions
Adverse drug reactions (ADRs) are defined by the World Health Organization as any noxious, unintended, and undesired effect of a drug that occurs at doses used for prevention, diagnosis, or treatment.
ADRs are reported to account for 3 -6% of all hospital admissions and occur in 10-15% of hospitalized patients.
ADRs are categorized into predictable (type A) and unpredictable (type B) reactions. Predictable reactions are usually dose dependent, related to the known pharmacologic actions of the drug, and occur in otherwise healthy subjects. Predictable reactions account for about 80% of all ADRs and are subdivided into overdose, side effects, secondary effects, and drug interactions.
Unpredictable reactions are generally not dose independent, are unrelated to the pharmacologic actions of the drug, and occur only in susceptible subjects. Unpredictable reactions are subdivided into drug intolerance (an undesirable pharmacologic effect that occurs at low and sometimes subtherapeutic doses of the drug without underlying abnormalities of metabolism, excretion, or bioavailability of the drug), drug idiosyncrasy (abnormal and unexpected effect, usually caused by underlying abnormalities of metabolism, excretion, or bioavailability), drug allergy (immunologically mediated ADRs [including IgE-mediated drug allergy]), and pseudoallergic reactions (also called anaphylactoid reactions, which are due to direct release of mediators from mast cells and basophils rather than IgE antibodies).
For the whole ADR Video Lecture conducted by Dr. Michelle De Vera of the TMC Therapeutics Committee, links are available for viewing and download in our Resources page.
Operah’s maiden episode: a smash hit!
Last March 10, we saw an SRO crowd at the Barcelon Auditorium all excited to watch the first ever “Operah” show on the topic “Yes! You can prevent patient falls!”. A hush fell over the audience as the opening billboard played, then came out Operah to welcome everybody.
Operah, played by CPP Director Dr. Florianne Valdes, was a lively host tackling this serious topic of patient falls. Expert information was provided by Dr. Prissy Sanchez from the Geriatrics Section (Medicine) and Christy Donato, Safety Specialist. The audience learned about the different types of falls, how they happen, and how to use and apply the Morse Fall Scale in determining the appropriate prevention protocol. Guest “patients”, Ms. Dina Tayo and Mr. Matt Humba played by Gina Lucero (Housekeeping) and Khan Vergara (Housekeeping) respectively, shared their own fall stories and the experts examined each situation and gave advice on how the falls could have been prevented. “Remote” feeds from segment host Adrianne Gonzaga included interviews with our nurses Bill Bonifacio and Dianne Sasoy on how to put the fall prevention protocols into practice.
To those who were not able to catch the live show, download the Video and the Patient Falls Presentation and Handout HERE.
The “Operah” show is a part of the Small Things Count campaign which is 2011’s enhanced Good Hospital Training Series.
Dr. Rhizza Valdes as “Operah” enters the stage.
Dr. Priscilla Sanchez (center) and Christy Donato (right) provide expert information.
Guest “patients” make the discussion more relevant and meaningful.
Co-host Adrianne Gonzaga interviews nurses Bill Bonifacio and Dianne Sasoy.