Knowledge, attitude and practice toward adverse drug reaction reporting among practicing clinicians at a tertiary care hospital

Abstract

Background: Pharmacovigilance has evolved as an important tool for dealing with Adverse Drug Reactions (ADRs) both in pre-marketing and post-marketing scenario. Underreporting of ADRs at our Adverse drug reaction Monitoring Centre (AMC) led us to conduct this study to assess Knowledge, Attitude and Practice (KAP) of the practicing clinicians at our tertiary care Pt. J.N.M. Medical College associated Dr. B.R.A.M. Hospital, Raipur, Chhattisgarh, India, towards ADRs reporting.Methods: This was a cross-sectional study using pretested questionnaires consisting of 29 questions related to KAP of the practicing clinicians at Pt. J.N.M. Medical College associated Dr. B.R.A.M. Hospital, Raipur towards ADRs reporting. The percentage of responders for each question was calculated. All statistical analysis was performed in Microsoft Office Excel 2007.Results: Out of 135 questionnaires distributed only 100 were considered for analysis, so the overall response rate was 74.07%. We calculated the result from the 100 responders. Overall 77% responders were aware of existence of ADR monitoring system in India, while only 40% were aware of its existence at their hospital. Only 8% responders had reported ADRs to the National Pharmacovigilance Centre and 10% to the Adverse drug reaction Monitoring Centre (AMC) at their hospital. Lack of knowledge about where, how and whom to report ADRs, lack of time, inability to decide what to report (known or unknown ADRs) and unavailability of ADR reporting form were the important factors discouraging them reporting ADRs.Conclusions: Creating awareness regarding ADR reporting through CMEs among practicing clinicians and early sensitization at medical undergraduate level for medical students may improve the current ADR reporting rate.

Medical error reporting among doctors and nurses in a Nigerian hospital: A cross‐sectional survey

“…Similar findings have been reported from India (Todar et al., 2017), where only 40% (40/100) respondents knew about the hospitals' reporting systems. In our study, most respondents, particularly nurses, reported knowing to whom to report an incident or error (Figure 1), whereas a Saudi Arabian study in June 2013 reported that the majority of respondents did not report errors because they did not know who the responsible persons were (Abdel‐Latif, 2016).…”

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“…To the best of our knowledge, this was the first study in India designed to assess the Clinician's opinion (mindset) on the strategic implementation of PvPI-Helpline (Toll-Free) number and concise ADR form in Inpatient case sheets. Clinicians across studies felt that ADR reporting was very necessary 18 but only 70%-78% of them knew that such systems were already in place [18][19][20][21] .…”