Application of trigger tools for the detection of adverse drug events in pharmaceutical care management

Abstract

Given the increasing global concern about medication without harm, one method for detecting, managing, and preventing adverse drug events (ADEs) is to apply screening tools. These tools consist of triggers (signals) that, when identified in medical records, indicate a potential ADE. To facilitate the implementation of these tools, management strategies for their use are presented, and a protocol for promoting drug safety is proposed. It is recommended to implement triggers that are flexible, understandable and do not generate additional costs for the health service. The professionals involved in screening the triggers and conducting the causality analysis must be qualified. Indicators of structure, performance, processes and results from the application of triggers can support the development and updating of protocols to identify, manage, monitor, and minimize ADEs. Finally, evaluating and controlling indicators allows for the adoption of preventive and corrective actions, providing feedback to the pharmaceutical care cycle and promoting continuous improvement in addressing drug safety issues.