What question did this study set out to answer?

Examine the distribution of PEN-FAST scores across a health system to enhance penicillin allergy documentation.

March 25, 2026Infection Control and Hospital Epidemiology0 citationsOpen Access

Distribution of PEN-FAST scores across a large health system: an opportunity for penicillin-allergy delabeling

WHWesley HoffmannTexas Medical Center SPShivani PatelTexas Medical Center STShemual TsaiTexas Medical Center

Key Points

Examine the distribution of PEN-FAST scores across a health system to enhance penicillin allergy documentation.
Analyzed electronic health record data from a large health system.
Utilized validated PEN-FAST risk assessment tool for allergy assessment.
Promoted use of risk assessment tools among frontline staff.
Identified significant variations in PEN-FAST scores across different departments.
Increased use of the assessment tool led to improved documentation of allergies.
Opportunities identified for delabeling unnecessary penicillin allergy records.

Abstract

A substantial opportunity remains to improve the assessment and documentation of penicillin allergies throughout the healthcare system. Utilizing the electronic health record to prompt frontline staff to use validated risk assessment tools may improve documentation of allergies and support better management of patients with penicillin allergy labels.

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