Davies Heather, Smyth Steven, Pinchbeck Gina, Pirmohamed Munir, Savory Roy, Noble P J, Killick David
Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK.
Institute of Systems Molecular and Integrative Biology, University of Liverpool, Liverpool, UK.
J Vet Intern Med. 2025 Jul-Aug;39(4):e70173. doi: 10.1111/jvim.70173.
Adverse events (AEs) are under-reported in veterinary medicine. The ability to report AEs directly from the practice management system (PMS) has been suggested to facilitate reporting. The Small Animal Veterinary Surveillance Network (SAVSNET) informatics system provides an opportunity to integrate reporting into the workflow such that reports can be submitted directly to the National Competent Authority, the Veterinary Medicines Directorate (VMD).
Develop an AE reporting form linked to the PMS allowing for pre-population of some fields from the electronic health record (EHR). Analyze the quality of submitted reports.
Animals attending United Kingdom (UK) first-opinion veterinary practices participating in SAVSNET.
An AE "reporting button" was developed and available in the normal clinical workflow for SAVSNET enrolled practices using the Robovet PMS. The button facilitated capture of pertinent information relating to AEs, including the ability to append clinical notes from the associated EHR. After submission, reports were automatically submitted daily to the VMD. Report quality was assessed using an adapted version of the vigiGrade scoring system, which was used to compare the quality of reports submitted to the VMD via standard routes to those submitted via SAVSNET. Assessment of reports submitted via SAVSNET, was conducted twice. First, considering only information contained in the report and second, considering information contained in both the report and associated clinical notes.
Sixty reports were submitted during the first 18 months by 42 different veterinary practices. The quality of SAVSNET reports was significantly improved by information contained within the clinical notes. These reports were more likely to be well-documented than those submitted via standard routes.
Adverse event reports populated using EHR data are well documented and can support efficient reporting of AEs in veterinary medicine.
在兽医学中,不良事件(AE)报告不足。有人建议直接从实践管理系统(PMS)报告不良事件的功能有助于报告工作。小动物兽医监测网络(SAVSNET)信息系统提供了将报告整合到工作流程中的机会,以便可以直接向国家主管当局兽药管理局(VMD)提交报告。
开发一种与PMS相关联的AE报告表,允许从电子健康记录(EHR)预填充某些字段。分析提交报告的质量。
就诊于参与SAVSNET的英国初诊兽医诊所的动物。
为使用Robovet PMS的SAVSNET注册诊所开发了一个AE“报告按钮”,并在正常临床工作流程中可用。该按钮便于获取与不良事件相关的相关信息,包括能够附加来自相关EHR的临床记录。提交后,报告每天自动提交给VMD。使用vigiGrade评分系统的改编版本评估报告质量,该系统用于比较通过标准途径提交给VMD的报告与通过SAVSNET提交的报告的质量。对通过SAVSNET提交的报告进行了两次评估。第一次,仅考虑报告中包含的信息;第二次,考虑报告和相关临床记录中包含的信息。
在最初的18个月内,42家不同的兽医诊所提交了60份报告。临床记录中包含的信息显著提高了SAVSNET报告的质量。与通过标准途径提交的报告相比,这些报告更有可能记录完整。
使用EHR数据填写的不良事件报告记录完整,可支持兽医学中不良事件的高效报告。