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How to Refute / Edit an ADE
Frequently Asked Questions
It says my login is invalid. What do I do?
- You need to sign up for an account before you can use ActionADE
- If you do not have one, fill out the account request form (link located at the bottom of the login page) and your account will be approved within 2 business days. You will receive a link to activate your account and sign Terms of Use. This link is valid for 14 days. Please see the (quick guide link) for further instructions on how to request an account.
- If you have previously made an account, and your account is deactivated, please contact the ActionADE team to reactivate your account. Accounts are automatically deactivated after 90 days of non-use, as per PharmaNet rules.
Can I modify / edit / refute any report in a patient’s profile, even if I am not the original reporter?
Yes – you can modify / edit / refute any ADE report and medical condition report in a patient’s profile even if you are not the original reporter and / or if the report was not created at your hospital site.
Can I view allergy / adverse reaction / medical condition reports that are already on PharmaNet in ActionADE?
At this time, you are unable to use ActionADE to import and / or view allergy / adverse reaction / medical condition reports that were entered into PharmaNet by community pharmacists. You may only view reports that are in ActionADE.
What does the report look like to community pharmacists?
- This depends on the community pharmacy software vendor, but the ActionADE will appear in the Adverse Reaction and Conditions section of PharmaNet.
- Please visit here to see how ADEs appear on different community pharmacy vendors.
Is ActionADE linked with PCIS or Cerner?
At this time, ActionADE is not linked to PCIS or Cerner. If your patient experiences an adverse drug reaction or allergy, you will still need to document it separately in the allergy section of PCIS or Cerner.
Do I have to fill out the medication reconciliation?
The medication reconciliation is available for non-Cerner sites to use if they would like, but it is not mandatory.
Do I have to fill out a form to Health Canada for Vanessa’s Law after I report it in ActionADE?
ADEs submitted to ActionADE are automatically sent to Health Canada if they meet the reporting criteria for Vanessa’s Law; ADEs do not have to be reported separately to Health Canada (the exception is vaccine-related ADEs which should be transmitted to BCCDC through an AEFI form).
What do the asterisk and yellow highlighted fields mean?
Fields that have an asterisk or are highlighted in yellow means that it is a mandatory field that needs to be filled out in order for the report to be complete.
Can I use ActionADE to change allergy / adverse reaction / medical condition reports that are already on PharmaNet?
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At this time, you are unable to use ActionADE to change allergy / adverse reaction / medical condition reports in PharmaNet, unless the report was originally created in ActionADE.
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For example; if the patient has a penicillin allergy documented in PharmaNet by a community pharmacist, you may not modify that allergy. Instead, you can create an allergy report in ActionADE, with the Certainty Level set to ‘Refute’. This report would then appear in the Adverse Reaction section of PharmaNet
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Community Pharmacists are educated to recognize that the patient’s penicillin allergy is refuted and they can dispense penicillin to the patient without concern
Will all of my reports be sent to PharmaNet?
While the ActionADE RCT is ongoing, eligible ADE reports documented in ActionADE are randomized 1:1 to be sent to PharmaNet (the intervention group) or not sent to PharmaNet (the standard of care group). ADE reports are eligible for study randomization if they are non-life-threatening events; either an allergy, adverse drug reaction, or non-adherence event; and to a medication filled on a patient’s PharmaNet profile. All other reports (ie reports not eligible for the RCT) are sent to PharmaNet 100% of the time (including life-threatening events, other types of ADEs, and reports to medications not on a patient’s PharmaNet profile).
Key Terms
Adverse Drug Event (ADE)
an injury resulting from the use of a drug.
Adverse Drug Event Reporting
systematically documenting when patients experience negative unintended consequences of medications. Includes information on the type and class of drug taken and other relevant data about the event.
Adverse Drug Reaction (ADR)
a response to a drug which is harmful or unpleasant and unintended which occurs at doses normally used in man for prevention diagnosis or treatment of disease.
Best Possible Medication History (BPMH)
a ‘snapshot’ of the patient’s actual medication use (both prescribed and non-prescribed) which may be different from what is contained in their records capturing the name dose frequency and route of administration for each.
Medication Reconciliation
the act of acquiring a best possible medication history using multiple sources (e.g. patients families community pharmacists etc.) prior to prescribing medications at care transitions (e.g. when patients are admitted to hospital).
Medication Review
thinking critically about all medications the patient is currently taking and how they might cause problems or interact with each other. Starts with creating a BPMH and then goes on to critically assess the medications on the list.
ActionADE is a web-based application that allows providers to document and communicate standardized adverse drug event information to providers in other health settings.