Internal Reference Number: FOI_8287
Date Request Received: 13/11/2024 00:00:00
Date Request Replied To: 28/11/2024 00:00:00
This response was sent via: By Email
Request Summary: National Project
Request Category: Students (Educational)
| Question Number 1: FOI - documentation of food, drug and non-drug allergies within electronic patient records and any related allergy patient safety incidents in hospital Q1 Trust Name: ________________________________________________________________ | |
| Answer To Question 1: Salisbury Foundation Trust | |
| Question Number 2: Type of Healthcare Facilities o District General Hospital (DGH) (1) o Specialty Hospital (2) o Private Hospital (3) o Community Hospital (4) o Other (Please Specify) (5 | |
| Answer To Question 2: District General Hospital (DGH) (1) | |
| Question Number 3: Demographic of Hospital Care o Adult Hospital (1) o Paediatric Hospital (2) o General Hospital (Both paediatric and adult) (3) o GP surgery (4) o Other (Please Specify) (5) | |
| Answer To Question 3: General Hospital (Both paediatric and adult) (3) | |
| Question Number 4: Respondent’s Role in the Trust: o Medical Records Manager (1) o IT Specialist (2) o Clinician (3) o Administrator (4) o Other (Please Specify) (5) | |
| Answer To Question 4: IT Specialist (2) Clinician (3) Administrator (4) | |
| Question Number 5: Does your Trust use electronic patient records (EPR)? o Yes (1) o No (2) | |
| Answer To Question 5: Yes (1) | |
| Question Number 6: Which EPR system does your Trust use? â–¢ Cerner (1) â–¢ Epic (2) â–¢ System C (3) â–¢ Dedalus (4) â–¢ Altera (5) â–¢ Other (Please Specify (6) | |
| Answer To Question 6: Lorenzo - Dedalus (4) | |
| Question Number 7: Does the EPR system used by your Trust include a specific section for recording food, drug, latex, and other allergies? o Yes (1) o No (2) | |
| Answer To Question 7: Yes (1) | |
| Question Number 8: If yes to question 7, how is the initial allergy information typically entered into the system? (Select all that relevant) â–¢ Manually by Doctor (1) â–¢ Manually by Pharmacist (5) â–¢ Manually by Nurse (6) â–¢ Manually by Dietitian (7) â–¢ Automatically from Previous Records (2) â–¢ Manually by Administrative Staff (3) â–¢ Other (Please Specify) (4) __________________________________________________ | |
| Answer To Question 8: Manually by Doctor (1) - Yes Manually by Pharmacist (5) - Yes Manually by Nurse (6) - Yes Manually by Dietitian (7) - Yes Automatically from Previous Records (2) - is recorded against patient so will be present from previous records Manually by Administrative Staff (3) - Yes | |
| Question Number 9: If yes to question 7, who is responsible for updating and/or checking allergy information in the patient's electronic record? (Select all that apply) ▢ Clinicians (e.g., doctors, nurses) (1) ▢ Administrative Staff (2) ▢ Pharmacists (3) ▢ IT/Technical Support Staff (4) ▢ Don’t Know (5) ▢ Other (Please Specify) (6) | |
| Answer To Question 9: Clinicians (e.g., doctors, nurses) (1) - yes Administrative Staff (2) yes Pharmacists (3) - Yes | |
| Question Number 10: How is the allergy information flagged or highlighted in the patient’s records to alert healthcare providers? o Red Flag (1) o Pop-up Alert (2) o Highlighted Text (3) o Other (Please Specify) (4) __________________________________________________ o Not highlighted/ alerted on the system (5) | |
| Answer To Question 10: Red Flag (1) - on patient record Pop-up Alert (2) - on patient record | |
| Question Number 11: What training, if any, is provided to staff on the correct recording of allergies in patient records? o Mandatory Training Sessions (1) o Optional Training (2) o No Training Provided (3) o Other (Please Specify) (4) | |
| Answer To Question 11: Other (Please Specify) (4) - part of recommended training before accessing Lorenzo | |
| Question Number 12: If training is provided on allergy documentation, does it specifically cover different types of allergies in the training materials? o Only drug allergy recording (1) o Both drug and non-drug allergy recording (2) o Drug, food, and other non-drug allergy recording (e.g., latex) (3) o Don't know/ Unsure (4) | |
| Answer To Question 12: drug and non drug allergy training is separate | |
| Question Number 13: Does your Trust have a Local Guideline or Standard Operating Procedure (SOP) in place covering allergy documentation on the EPR? o Yes (3) o No (5) o Don't know/ Unsure (4) | |
| Answer To Question 13: Yes (3) | |
| Question Number 14: f yes to Question 13, does this guideline/SOP include documentation for allergens below? (Select all that relevant) â–¢ Drugs (1) â–¢ Food (2) â–¢ Other non-drug substances (e.g. latex) (3) â–¢ Don't know/ Unsure (5) | |
| Answer To Question 14: Drugs (1) - Yes Food (2) - Yes Other non-drug substances (e.g. latex) (3) - Yes | |
| Question Number 15: Does your hospital have access to specialist allergy advice for paediatric patients? o Yes, please specify if this service available is available through In-House, Local Centre or Regional Centre. (1) __________________________________________________ o No (2) | |
| Answer To Question 15: Yes, available via UHS (University Hospital Southampton) Surgery division – ENT – we do undertake some allergy testing on paediatric patients within the ENT department - in house clinic. | |
| Question Number 16: Does your hospital have access to specialist allergy advice for adult patients? o Yes, please specify if this service available is available through In-House, Local Centre or Regional Centre. (1) __________________________________________________ o No (2) | |
| Answer To Question 16: Medicine Division - Yes, available via UHS (University Hospital Southampton) Surgery division: ENT – in house clinic General Surgery - no Gastro - no Dermatology - we do in house patch testing for contact dermatitis only. | |
| Question Number 17: Does the incident reporting platform have a specific category for recording food or other non-drug allergy incidents? Please see attached for guidance. o Yes (1) o No (2) | |
| Answer To Question 17: Yes (1) To accompany this answer to question 17 please also see the documents listed below:  FOI 8287 - Q17.docx | |
| Question Number 18: In the last 10 years, has your Trust recorded any incidents where a patient was administered a food, drug, or other substance (e.g., latex) they were known to be allergic to? o Yes (1) o No (2) | |
| Answer To Question 18: Yes (1) | |
| Question Number 19: If yes to question 18, how many such incidents have been reported in the last 10 years? [Numerical Response] o <5, please specify (1) __________________________________________________ o 5 - 9, please specify (2) __________________________________________________ o 10 - 19, please specify (3) __________________________________________________ o ≥ 20, please specify (4) __________________________________________________ o Don't know (5) | |
| Answer To Question 19: >20 | |
| Question Number 20: If yes to question 18, please indicate the number of incidents for each category: [Numerical Response] â–¢ Drug allergy incidents (1) â–¢ Food allergy incidents (2) â–¢ Incidents to other allergic substances (3) â–¢ Don't know/ unaware (4) | |
| Answer To Question 20: Don't know/ unaware (4) | |
| Question Number 21: Considering the start date of your EPR system, how many years' worth of incident data have you been able to search for this survey? Ideally, up to 10 years. (e.g. 2014 - 2024) | |
| Answer To Question 21: The Trust were able to search the 10 years as requested. | |
| Question Number 22: Please see attached | |
| Answer To Question 22: Please see attached To accompany this answer to question 22 please also see the documents listed below:  FOI 8287 - Q22 with answers.pdf | |
| Question Number 23: Please see attached | |
| Answer To Question 23: Please see attached To accompany this answer to question 23 please also see the documents listed below: FOI 8287 - Q 23 with answers.pdf | |
| Question Number 24: Please see attached | |
| Answer To Question 24: Unable to answer due to the manual workload it would require to find this information As discussed via email with requestor due to this being a manual task they were happy with raw data answered in other questions To accompany this answer to question 24 please also see the documents listed below: FOI 8287 - Q24.docx | |
| Question Number 25: Please see attached | |
| Answer To Question 25: Unable to answer due to the manual workload it would require to find this information As discussed via email with requestor due to this being a manual task they were happy with raw data answered in other questions To accompany this answer to question 25 please also see the documents listed below: FOI 8287 - Q25.docx | |
| Question Number 26: What challenges, if any, does your Trust face in accurately recording and managing allergy information in EPR systems? | |
| Answer To Question 26: None noted | |
| Question Number 27: What improvements do you suggest could be made at a national level to better manage allergy information in patient records? | |
| Answer To Question 27: To have more automated feeds from primary systems to acute | |
| Question Number 28: If possible, could you provide a screenshot of the allergy status documentation page from your system | |
| Answer To Question 28: Please see attached To accompany this answer to question 28 please also see the documents listed below: FOI 8287 - Q28.docx | |
| Please see Attachments: | |
| To return to the list of all the FOI requests please click here | |
Our staff at Salisbury District Hospital have long been well regarded for the quality of care and treatment they provide for our patients and for their innovation, commitment and professionalism. This has been recognised in a wide range of achievements and it is reflected in our award of ¾¨Ó㴫ý Foundation Trust status. This is afforded to hospitals that provide the highest standards of care.
