Glossary entry (derived from question below)
Spanish term or phrase:
alerta/alertantes
English translation:
trigger drugs
Added to glossary by
liz askew
Oct 13, 2022 15:50
1 yr ago
25 viewers *
Spanish term
alerta/alertantes
Spanish to English
Medical
Medical (general)
screening for adverse events
Hello,
I am stuck on this in the following context:
Uso de fármacos alertantes para la detección de reacciones adversas intrahospitalarias: estudio de farmacovigilancia
En este contexto, los fármacos alertantes han demostrado ser útiles en la detección de posibles RAM. Dicho esto, es fundamental que la detección precoz de RAM y EM sea llevada a cabo por profesionales cualificados y experimentados, especialmente en el caso de pacientes añosos, que son el grupo que más habitualmente experimenta estos
En este sentido, reconociendo la importancia de promover la seguridad del paciente, el uso de fármacos alertantes es uno de los métodos que permite la identificación temprana de un EAM en un paciente6. Dichos fármacos constituyen una herramienta mucho más sensible y específica para la detección de RAM que otros métodos utilizados para evaluar los daños ocasionados al paciente13.
En Estados Unidos, el Institute for Healthcare Improvement (IHI) ha desarrollado, en base al análisis de historias clínicas, una serie de alertadores destinados a detectar EAM intrahospitalarios15. Los alertadores son datos o indicios en la historia clínica del paciente que advierten sobre un posible daño6.
Existen algunos medicamentos que se utilizan habitualmente como alertadores, tales como los antídotos y los antihistamínicos17
I am not convinced by findings of "trigger drugs" or "alert drugs".
Any help, withe evidence as back-up, would be appreciated.
I am stuck on this in the following context:
Uso de fármacos alertantes para la detección de reacciones adversas intrahospitalarias: estudio de farmacovigilancia
En este contexto, los fármacos alertantes han demostrado ser útiles en la detección de posibles RAM. Dicho esto, es fundamental que la detección precoz de RAM y EM sea llevada a cabo por profesionales cualificados y experimentados, especialmente en el caso de pacientes añosos, que son el grupo que más habitualmente experimenta estos
En este sentido, reconociendo la importancia de promover la seguridad del paciente, el uso de fármacos alertantes es uno de los métodos que permite la identificación temprana de un EAM en un paciente6. Dichos fármacos constituyen una herramienta mucho más sensible y específica para la detección de RAM que otros métodos utilizados para evaluar los daños ocasionados al paciente13.
En Estados Unidos, el Institute for Healthcare Improvement (IHI) ha desarrollado, en base al análisis de historias clínicas, una serie de alertadores destinados a detectar EAM intrahospitalarios15. Los alertadores son datos o indicios en la historia clínica del paciente que advierten sobre un posible daño6.
Existen algunos medicamentos que se utilizan habitualmente como alertadores, tales como los antídotos y los antihistamínicos17
I am not convinced by findings of "trigger drugs" or "alert drugs".
Any help, withe evidence as back-up, would be appreciated.
Proposed translations
(English)
| 3 +2 | trigger drugs |
Helena Chavarria
|
| 5 | alert/alerting drugs |
José Julián Díaz
|
| 3 | indicator drugs |
Anne Schulz
|
References
| This might help. |
Helena Chavarria
|
Change log
Jan 3, 2023 14:56: liz askew Created KOG entry
Proposed translations
+2
2 hrs
Helena Chavarria
Spain
Spain
Native in English
Spain
Striving for excellence
Native in: English (Variant: British) 
Works in: Spanish to English, Catalan to English
Related KudoZ points
:
381
Selected
trigger drugs
Trigger tools
Triggers are used as a proactive tool for identifying adverse drug events. Triggers can be changes in a patient’s clinical condition, an abnormal labora-tory test or a prescription for a drug which might prompt investigation into a medicine-related cause of the event. Medicines which might be triggers for adverse drug events include vitamin K to reverse overanticoagulation in patients receiving warfarin, glucagon for insulin-induced hypoglycaemia, naloxone for opioid toxicity and flumazenil for oversedation with benzodi-azepines. Pharmacists should be prompted to investigate the reason why trigger drugs are prescribed and report any adverse drug reactions or medi-cation errors identified. Similarly, abnormal laboratory results may indicate medication-related problems. Elevated serum potassium levels may indicate inappropriate use of potassium-sparing diuretics and rapid falls in haemoglo-bin may indicate gastrointestinal bleeding in a patient receiving non-steroidal anti-inflammatory medicines. Pharmacists can use triggers to identify risks with medicines proactively, prevent patient harm by contributing to changes in medication regimens and report adverse incidents.
https://www.pharmacy180.com/article/identifying-risk-1658/
King's College Hospital NHS Foundation Trust in London is using a list of trigger drugs (drugs often used to treat patients after an adverse drug event) as a way to identify adverse drug events. Details of the scheme were reported to the conference by Georgina Boon, a pharmacist, and Gillian Cavell, deputy director of pharmacy at the trust.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2018798/
--------------------------------------------------
Note added at 2 hrs (2022-10-13 18:19:10 GMT)
--------------------------------------------------
Medication Safety pharmacists at King’s College Hospital are sent a daily ‘trigger report’ listing adult inpatients who have been prescribed and administered trigger drugs on our electronic prescribing and medicines administration system (EPMA)
https://www.eahp.eu/sites/default/files/di-024_2.pdf
--------------------------------------------------
Note added at 1 day 4 hrs (2022-10-14 20:48:40 GMT)
--------------------------------------------------
I'm glad you've found it useful.
Triggers are used as a proactive tool for identifying adverse drug events. Triggers can be changes in a patient’s clinical condition, an abnormal labora-tory test or a prescription for a drug which might prompt investigation into a medicine-related cause of the event. Medicines which might be triggers for adverse drug events include vitamin K to reverse overanticoagulation in patients receiving warfarin, glucagon for insulin-induced hypoglycaemia, naloxone for opioid toxicity and flumazenil for oversedation with benzodi-azepines. Pharmacists should be prompted to investigate the reason why trigger drugs are prescribed and report any adverse drug reactions or medi-cation errors identified. Similarly, abnormal laboratory results may indicate medication-related problems. Elevated serum potassium levels may indicate inappropriate use of potassium-sparing diuretics and rapid falls in haemoglo-bin may indicate gastrointestinal bleeding in a patient receiving non-steroidal anti-inflammatory medicines. Pharmacists can use triggers to identify risks with medicines proactively, prevent patient harm by contributing to changes in medication regimens and report adverse incidents.
https://www.pharmacy180.com/article/identifying-risk-1658/
King's College Hospital NHS Foundation Trust in London is using a list of trigger drugs (drugs often used to treat patients after an adverse drug event) as a way to identify adverse drug events. Details of the scheme were reported to the conference by Georgina Boon, a pharmacist, and Gillian Cavell, deputy director of pharmacy at the trust.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2018798/
--------------------------------------------------
Note added at 2 hrs (2022-10-13 18:19:10 GMT)
--------------------------------------------------
Medication Safety pharmacists at King’s College Hospital are sent a daily ‘trigger report’ listing adult inpatients who have been prescribed and administered trigger drugs on our electronic prescribing and medicines administration system (EPMA)
https://www.eahp.eu/sites/default/files/di-024_2.pdf
--------------------------------------------------
Note added at 1 day 4 hrs (2022-10-14 20:48:40 GMT)
--------------------------------------------------
I'm glad you've found it useful.
Note from asker:
| Thank you for the convincing evidence! |
Peer comment(s):
| agree |
Erzsébet Czopyk
: Impressive and profoundly elaborated.
1 hr
|
|
Thank you very much, Erzsébet :-)
|
|
| agree |
neilmac
12 hrs
|
|
Cheers, Neil :-)
|
4 KudoZ points awarded for this answer.
Comment: "Thanks!"
1 hr
José Julián Díaz
Mexico
Mexico
Native in Spanish
Works in field
Mexico
Translation QA Specialist
Native in: Spanish (Variants: Mexican, Standard-Spain, Latin American)
Works in: English to Spanish, Spanish to English, French to Spanish, and 3 more.
Related KudoZ points
:
20
3 days 55 mins
Spanish term (edited):
alertadores/alertantes
indicator drugs
Proactive identification includes observation of medication passes, concurrent and retrospective review of a patient’s clinical records, ADR surveillance team, implementation of medication usage evaluations for high-alert drugs, and identification of indicator drugs that, when ordered, automatically generate a drug regimen review for a potential adverse drug event.
https://www.cms.gov/Regulations-and-Guidance/Guidance/Manual...
FWIW, I think that the other suggestions are as valid.
https://www.cms.gov/Regulations-and-Guidance/Guidance/Manual...
FWIW, I think that the other suggestions are as valid.
Reference comments
30 mins
Helena Chavarria
Spain
Spain
Native in English
Spain
Striving for excellence
Native in: English (Variant: British)
Works in: Spanish to English, Catalan to English
Related KudoZ points
:
381
Reference:
This might help.
IHI Trigger Tool for Measuring Adverse Drug Events
Institute for Healthcare Improvement (in partnership with Premier, Inc., San Diego, California, USA)
Cambridge, Massachusetts, USA
The use of "triggers," or clues, to identify adverse drug events (ADEs) is an effective method for measuring the overall level of harm from medications in a health care organization. The Trigger Tool for Measuring Adverse Drug Events provides instructions for conducting a retrospective review of patient records using triggers to identify possible ADEs. This tool includes a list of known ADE triggers and instructions for measuring the number and degree of harmful medication events. The tool provides instructions and forms for collecting the data you need to measure ADEs per 1,000 Doses and Percent of Admissions with an ADE.
https://www.ihi.org/resources/Pages/Tools/TriggerToolforMeas...
--------------------------------------------------
Note added at 1 hr (2022-10-13 17:35:31 GMT)
--------------------------------------------------
6.2.5 Adverse drug event trigger tools
The trigger tool uses an efficient sampling technique to identify potential adverse events through an audit of medical records. Each tool includes a limited number of triggers that signal the most common types of adverse events or those that are most likely to cause serious harm. Triggers are included based on a literature review, expert opinion and testing for feasibility. When a trigger is found, the chart is reviewed to determine whether an adverse event has occurred. There are three types of triggers:
6. Identifying and reporting medication errors
36 Reporting and learning systems for medication errors: the role of pharmacovigilance centres
1. use of specific drug antidotes used to treat ADEs, for example, the use of vitamin K to treat over-anticoagulation with warfarin, or the prescription of flumazenil for over-sedation with benzodiazepines;
2. results from laboratory tests that may indicate an ADE; and
3. clinical events that may indicate an ADE.
Reporting and learning systems for medication errors: the role of pharmacovigilance centres
WHO Library Cataloguing-in-Publication Data
Reporting and learning systems for medication errors: the role of pharmacovigilance centres.
1.Medication Errors – prevention and control. 2.Pharmacovigilance.
3.Drug Monitoring. I.World Health Organization.
The reference above is a downloaded document published by the WHO.
--------------------------------------------------
Note added at 2 hrs (2022-10-13 18:10:48 GMT)
--------------------------------------------------
Detecting hypoglycaemia using electronic trigger drug alerts
The Pharmacy Medication Safety Team, working together with the EPMA team have designed a daily report to list details of ‘trigger’ drugs administered to inpatients at King’s College Hospital. The report is used to identify patients administered glucagon to aid identification of severe hypoglycaemic events. Electronic records of patients are retrospectively reviewed by pharmacists to ensure these events have been detected and acted on by non-specialist teams.
https://www.kingshealthpartners.org/assets/000/000/576/KHPJ4...
I would use '"trigger"' drugs'.
Institute for Healthcare Improvement (in partnership with Premier, Inc., San Diego, California, USA)
Cambridge, Massachusetts, USA
The use of "triggers," or clues, to identify adverse drug events (ADEs) is an effective method for measuring the overall level of harm from medications in a health care organization. The Trigger Tool for Measuring Adverse Drug Events provides instructions for conducting a retrospective review of patient records using triggers to identify possible ADEs. This tool includes a list of known ADE triggers and instructions for measuring the number and degree of harmful medication events. The tool provides instructions and forms for collecting the data you need to measure ADEs per 1,000 Doses and Percent of Admissions with an ADE.
https://www.ihi.org/resources/Pages/Tools/TriggerToolforMeas...
--------------------------------------------------
Note added at 1 hr (2022-10-13 17:35:31 GMT)
--------------------------------------------------
6.2.5 Adverse drug event trigger tools
The trigger tool uses an efficient sampling technique to identify potential adverse events through an audit of medical records. Each tool includes a limited number of triggers that signal the most common types of adverse events or those that are most likely to cause serious harm. Triggers are included based on a literature review, expert opinion and testing for feasibility. When a trigger is found, the chart is reviewed to determine whether an adverse event has occurred. There are three types of triggers:
6. Identifying and reporting medication errors
36 Reporting and learning systems for medication errors: the role of pharmacovigilance centres
1. use of specific drug antidotes used to treat ADEs, for example, the use of vitamin K to treat over-anticoagulation with warfarin, or the prescription of flumazenil for over-sedation with benzodiazepines;
2. results from laboratory tests that may indicate an ADE; and
3. clinical events that may indicate an ADE.
Reporting and learning systems for medication errors: the role of pharmacovigilance centres
WHO Library Cataloguing-in-Publication Data
Reporting and learning systems for medication errors: the role of pharmacovigilance centres.
1.Medication Errors – prevention and control. 2.Pharmacovigilance.
3.Drug Monitoring. I.World Health Organization.
The reference above is a downloaded document published by the WHO.
--------------------------------------------------
Note added at 2 hrs (2022-10-13 18:10:48 GMT)
--------------------------------------------------
Detecting hypoglycaemia using electronic trigger drug alerts
The Pharmacy Medication Safety Team, working together with the EPMA team have designed a daily report to list details of ‘trigger’ drugs administered to inpatients at King’s College Hospital. The report is used to identify patients administered glucagon to aid identification of severe hypoglycaemic events. Electronic records of patients are retrospectively reviewed by pharmacists to ensure these events have been detected and acted on by non-specialist teams.
https://www.kingshealthpartners.org/assets/000/000/576/KHPJ4...
I would use '"trigger"' drugs'.
Discussion