Supplementary material A: Questionnaire for basic characteristics

Journal name: Drug Safety

Title: Relevance of foreign alerts and newsletters for the medication errors reporting programme in The Netherlands: An explorative retrospective study

Authors: Ka-Chun Cheung (1,2); Patricia M L A van den Bemt (3); Marcel L Bouvy (4); Michel Wensing (1); Peter A G M De Smet (1,2,5)

Author’s affiliations:

1: Scientific Institute for Quality of Healthcare, Radboud University Medical Centre, Nijmegen, The Netherlands

2: Royal Dutch Pharmacists Association (KNMP), Den Haag, The Netherlands

3: Department of Hospital Pharmacy, Erasmus MC, Rotterdam, The Netherlands

4: Department of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for

Pharmaceutical Sciences (UIPS), Utrecht University, Utrecht, The Netherlands

5: Department of Clinical Pharmacy, Radboud University Medical Centre, Nijmegen, The Netherlands

Copy of questionnaire:

With this document Ka-Chun will try to collect the basic information. The basic information about the four national reporting systems (CMR, ISMP, ISMP-Canada, NRLS) is needed for the article.

If you have any questions you can email Ka-Chun on k.c.cheung.knmp.nl

I have a request to make to you:
-On page 1 you can fill in the contact information of the persons who answers the questions.
-On page 2 you find an overview of the basic information for each national reporting system. Please check if the basic information about your national reporting system is correct.
-On page 3 you will find some questions which needed to be answered.
Please fill in the contact information of the person who answers the questions:
Organisation: ______
Name:______
Email address:______

Thank you for taking time to fill in the questions.

Overview of the basic information of the reporting systems in each country

Country / US / Canada / UK / Netherlands
Name of reporting system / ISMP Medication Errors Reporting Programme / Canadian Medication Incident Reporting and Prevention System / National Reporting and Learning System, NRLS / Central Medication Incidents Registration, CMR
Year of the development / 1975 / 1999 / 2005 / 2006
Organisation / Independent organisation / Independent organisation / Government / Independent organisation
Other types of incidents the system collects
(beside medication incidents) / Device errors
Hazardous condition / Only medication incidents / All types of incidents / Only medication incidents
Voluntary to report to the system / ● / ● / ● / ●
Share information with government authorities / ● / ● / ●
Types of care organisations that could report
Ambulance service / ● / ●
Community pharmacy / ● / ● / ● / ●
Community optometry / optician service / ●
Dental service / ●
General practice / ● / ● / ●
Hospital / ● / ● / ● / ●
Mental health care / ● / ● / ● / ●
Residential / home / ● / ●
Patients, relatives, cares / ● / ● / ●
Public / ● / ●
Type of sharing information
Alert / ● / ● / ● / ●
Newsletter / ●* / ● / ? / ●
Annual report / ? / ? / ●
List of ‘look-alike/sound-alike’-medicines / ? / ? / ●
Guidelines / ● / ? / ?
“High-alert” Tall-Man Lettering List / ●
Medium for sharing information
Post / ● / ? / ?
Website / ● / ● / ● / ●
Email / ● / ? / ? / ●
Social media / ● / ? / ?
Conferences / meetings / ●
Frequencies of output
Alert / Ad hoc / ? / ? / Ad hoc
Newsletter / Biweekly * / ? / ? / Quarterly
Annual report / ? / ? / Yearly
List of ‘look-alike/sound-alike’-medicines / ? / ? / Ad hoc
Guidelines / Ad hoc / ? / ?
“High-alert” Tall-Man Lettering List / Ad hoc
* ISMP USA has five types of newsletters: Acute care (biweekly), community care (monthly), nurse advise (monthly), long-term care (half yearly), and consumer (bimonthly).

Questions to collect basis information

-What kind of output does your organisation disseminate?

  • Newsletter: YES / NO
  • Alert:YES / NO
  • Annual report:YES / NO
  • ______
  • ______
  • ______
  • ______

-What are frequencies of the different kind of output?

  • Newsletter: yearly / quarterly / half yearly / bimonthly / monthly / ad hoc
  • Alert:yearly / quarterly / half yearly / bimonthly / monthly / ad hoc
  • Annual report:yearly / quarterly / half yearly / bimonthly / monthly / ad hoc
  • ______yearly / quarterly / half yearly / bimonthly / monthly / ad hoc
  • ______yearly / quarterly / half yearly / bimonthly / monthly / ad hoc
  • ______yearly / quarterly / half yearly / bimonthly / monthly / ad hoc
  • ______yearly / quarterly / half yearly / bimonthly / monthly / ad hoc
  • ______yearly / quarterly / half yearly / bimonthly / monthly / ad hoc

-What are the factors for decision to disseminate output?

  • ______
  • ______
  • ______

-Who is maintaining the reporting system?

  • Government
  • Independent organisation
  • Health professional association
  • ______

-What kind of medium is used for sharing information / guidance / output?

  • Post (mail)YES / NO
  • WebsiteYES / NO
  • EmailYES / NO
  • Social mediaYES / NO
  • ______YES / NO
  • ______YES / NO
  • ______YES / NO

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