Audit of medication allergy referrals to an allergy outpatient service at a tertiary hospital

Medication allergy is a significant cause of morbidity and mortality and proper evaluation and management by an allergy service is of paramount importance. We audited all adult medication allergy outpatient referrals received by a tertiary allergy/clinical immunology service for completeness. A 6-month prospective audit of all medication allergy referrals was undertaken at a tertiary public hospital in South Australia. Each referral was assessed against the Australasian Society for Clinical Immunology and Allergy (ASCIA) medication allergy referral template. A total of 73 medication allergy referrals were received. There was an overall poor level of adherence to all criteria (44.7%) and general practitioner (GP) referrals were generally more detailed than internal referrals. Inadequately detailed referrals may have the knock-on effect of inappropriate triaging of referrals. Future studies are required to identify barriers to doctors providing sufficiently detailed referrals, and investigate appropriate interventions to improve this.