Interventions for Adverse effects of medical treatment

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Age Cohort: < 5 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Palliative
Community Level
Create awareness of patient safety and urge people to show their commitment to making healthcare safer.	Avoid self-medication with prescription medicines; Avoid not following the instructions for taking the medication	Recognition of adverse effects of medical treatment	Early identification of adverse effects of medical treatment and referral	Psychological and social support to parents of babies with drug-related complications
Primary Care
Establish a culture of safety that focuses on system improvement by viewing medical errors as challenges that must be overcome.	Rational prescription of medicines Avoid incorrect diagnosis of the patient’s medical condition Avoid prescription of inappropriate drug or incorrect dosage of the appropriate drug Inform patients about potential ADRs and management strategies Avoid or reduce the use of interacting medications	History Physical examination Comprehensive medication history	Discontinue the offending or suspected drug Antihistamine Early referral for severe adverse effects of medical treatment	Psychological and social support to parents of babies with drug-related complications
Referral Facility: General
Rational prescription of medicines Avoid incorrect diagnosis of the patient’s medical condition Avoid prescription of inappropriate drug or incorrect dosage of the appropriate drug Identify early medical, genetic or allergic condition that may cause a patient reaction		History Physical examination Comprehensive medication history Skin testing Complete blood count Basic metabolic panel Liver function tests Renal function tests C-reactive protein Erythrocyte sedimentation rate	Reduce dosing of the offending medication Switch to another drug or dosage form less likely to cause ADRs Antihistamine Glucocorticoids Specific treatment of its effects	Psychological and social support to parents of babies with drug-related complications
Referral Facility: Specialist
	Rational prescription of medicines Avoid incorrect diagnosis of the patient’s medical condition Avoid prescription of inappropriate drug or incorrect dosage of the appropriate drug Identify early medical, genetic or allergic condition that may cause a patient reaction	History Physical examination Comprehensive medication history Skin testing Complete blood count Basic metabolic panel Liver function tests Renal function tests C-reactive protein Erythrocyte sedimentation rate Naranjo Adverse Drug Reaction Probability Scale	Reduce dosing of the offending medication Switch to another drug or dosage form less likely to cause ADRs Antihistamine Glucocorticoids Specific treatment of its effects	Psychological and social support to parents of babies with drug-related complications