The ADRe Profile ensures that patients’ health is reviewed against their medication plan to ensure there are no unnoticed adverse reactions or preventable adverse events. Research has shown that by using this instrument benefits all patients and enhances care is several different ways. For example, improved oral care to counter the dry mouth caused by mental health medicines, vision checks to detect any blurring of vision caused by some medicines..
Yes, preventable adverse drug reactions occur in ~8% of patients in the community, and can include potentially life-threatening problems, such as irregular heart rhythm. Adverse drug reactions are responsible for 5-8% of UK unplanned hospital admissions and cost the NHS £1 to 2.5 billion each year.
ADRe brings together relevant information from several forms, such as records of vital signs, pain, eating and drinking, activities of daily living. The accompanying guidelines help to relate these to prescribed medicines. If the ADReProfile is completed, several other forms may not be needed.
ADRe Profiles should be shared with prescribers and pharmacists reviewing medicines, as part of multidisciplinary team working. By bringing all the information onto one page, together with the list of prescribed medicines , it makes it easier to see if any problems might be caused or exacerbated by the prescriptions being reviewed.
Some information is in other documents, but it isn’t always easy to find. It can take over an hour to locate the necessary information in patients’ notes, and prescribers do not always have this time.
10-25 minutes, including measuring vital signs.
All participants in our studies have positively welcomed the extra attention being given to their r health. However where time is an issue ADRe can be completed over a series of sessions.
It is recommended that the ADRe is completed:
Repeated use of ADRe allows clinicians to follow progress when changes are made. It helps clinicians to become familiar with a single format of documentation, rather than switch between Profiles.
The use of ADRe helps ensure compliance with:
Responsibilities under the All Wales Policy for Medicines Administration, Recording, Review, Storage and Disposal (section 6).
ADRe is the most comprehensive instrument currently available to healthcare staff to help them identify and address adverse drug reactions to the full range of mental health medicines.
As there is considerable overlap of the adverse effects of these medicines it is essential all the information is recorded in one form. The accompanying guidelines then indicate which medicines are likely to cause each problem. In practice, many of these medicines are co-prescribed, or one is substituted for another.
No, each problem should be reviewed and considered on its own merit. There would be no reason to assume that multiple problems would be related.
In practice, our research shows that taking time to use the ADRe Profiles demonstrates a considerable improvement to the quality of care that a patient will receive. We hope this will become routine practice.