140 Chapter 5 Communication about allergies with other institutions - Is information about allergies shared with other healthcare institutions / providers? • And how? • Is there a need for that: how / who? • Is an allergy in a referral letter included as standard in the episode list? - How could communication be improved? - Is there ever feedback from another healthcare provider that the patient has an (alleged) antibiotic allergy? • How do you deal with this? (check EMR/ enter registration / ask the patient?) • Do you sometimes communicate an (alleged) incorrect antibiotic allergy registration to other heathcare providers? - How is communication between healthcare providers going? • What is going well? • What is not going well? • What do you think is needed to improve communication about antibiotic allergy? Patient perspective - To what extent does the patient's presentation of symptoms affect the interpretation and registration of a suspected antibiotic allergy? - Which factors (knowledge / education / experience of illness) determine the presentation of the symptoms? - To what extent do you think previous experiences and preferences of patients determine the process of antibiotic allergy registration? (Explain this). - Are there other patient-related factors that can influence registration?(language barrier, culture, media, guidelines from abroad) - Could patient explanation about antibiotic allergy contribute to correct registrations? Possible areas for improvement regarding the registration of allergies - What suggestions do you have to improve registrations? (Training / ICT / Communication / documentation / protocols / website) - How do you estimate the chance of improvement? (is it feasible? Realistic?) - What could hinder or facilitate the improvement? (finance, knowledge, time, facilities, opinion / belief / habit and cognitions, management, effort)? - Are you motivated to improve the allergy registration system in your practice?
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