Quality statement 6 (developmental): Prescription information on drug avoidance

Developmental quality statements set out an emerging area of service delivery or technology currently found in a minority of providers and indicating outstanding performance. They will need specific, significant changes to be put in place, such as redesign of services or new equipment.

Developmental quality statement

People with a drug allergy have information included on their prescriptions about which drugs or drug classes to avoid.

Rationale

Recording information on drug avoidance on a prescription is important for patient safety. Expert opinion suggests that only some hospitals have prescription forms which include drug allergy status.

Quality measures

Structure

Evidence of local arrangements to ensure that prescriptions have drug allergy information included about which drugs or drug classes to avoid.

Data source: Local data collection.

Process

a) Proportion of paper prescriptions issued in any healthcare setting which have drug allergy information included about which drugs or drug classes to avoid.

Numerator – the number in the denominator which have drug allergy information about which drugs or drug classes to avoid.

Denominator – the number of paper prescriptions issued in any healthcare setting.

Data source: Local data collection.

b) Proportion of electronic prescriptions issued in any healthcare setting which have drug allergy information included about which drugs or drug classes to avoid.

Numerator – the number in the denominator which have drug allergy information about which drugs or drug classes to avoid.

Denominator – the number of electronic prescriptions issued in any healthcare setting.

Data source: Local data collection.

Outcome

a) Mortality.

Data source: Local data collection.

b) Repeat allergic drug reactions.

Data source: Local data collection.

c) Inappropriate avoidance of drugs.

Data source: Local data collection.

What the quality statement means for service providers, healthcare professionals, and commissioners

Service providers (secondary care) ensure that people with a drug allergy have information included on their prescriptions about which drugs or drug classes to avoid.

Healthcare professionals issue prescriptions which have drug allergy information included about which drugs or drug classes to avoid.

Commissioners (NHS England area teams and clinical commissioning groups) commission services in which people with a drug allergy have information included on their prescriptions about which drugs or drug classes to avoid.

What the quality statement means for patients, service users and carers

People with a drug allergy are given prescriptions which include information on any drugs or types of drug that they should avoid.

Source guidance

  • Drug allergy (2014) NICE guideline CG183, recommendation 1.2.4.