Audit of Self-Administered Injectable Adrenaline Prescription in Primary Care

Title: Audit of Self-Administered Injectable Adrenaline Prescription in Primary Care

Aims of audit:

1. To determine the prevalence of diagnosed anaphylaxis in primary care
2. To establish practice diagnosis and prescribing patterns and procedures for injectable adrenaline in primary care.
3. Through comparison with colleagues online data, to facilitate change in prescribing and management of patients with diagnosed anaphylaxis.

Audit Criteria:

To include diagnosis, prescription, demonstration and checking of injector technique and use of self management plans.

Audit standards for patients prescribed self injectable adrenaline:

1. At least 80% of patients with a prescription for self-administered adrenaline have a recorded diagnosis of anaphylaxis?
2. At least 80% of patients with a recorded diagnosis of anaphylaxis have been reviewed in the past year?
3. 100% of patients prescribed Adrenaline Auto-injectors should be for the correct dose
4. 100% of patients or their parents/ representatives with a prescription for self-administered adrenaline should have been taught to use device.
5. At least 80% of patients or their parents/ representatives have demonstrated they can use their autoinjector, in the past 12 months
6. 100% of patients with a recorded diagnosis of anaphylaxis have evidence of receiving a written self-management plan.

Relevant links:

1. Guidelines
   (www.resus.org.uk/pages/reaction.pdf)
2. BSACI
   (www.bsaci.org)
3. Anaphylaxis Campaign - how to use Anapens and Epipens
   (www.anaphylaxis.org.uk/health_professionals/epipen.html)
4. GPIAG
   (www.gpiag.org)
5. Education for Health
   (www.educationforhealth.org.uk/)