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Interventions to improve adverse drug reaction reporting: A scoping review
Malahat Khalili1, Bita Mesgarpour2, Hamid Sharifi1
1HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Pharmacoepidemiology and Drug Safety
|May 21, 2020
Summary
Improving adverse drug reaction (ADR) reporting requires multiple strategies. Combining interventions like education, reminders, and easier reporting channels shows promise for increasing ADR reporting rates among healthcare professionals.
Area of Science:
- Pharmacovigilance
- Healthcare Quality Improvement
- Evidence Synthesis
Background:
- Voluntary adverse drug reaction (ADR) reporting systems are limited by significant underreporting.
- Assessing interventions to enhance ADR reporting is crucial for patient safety.
- Healthcare professionals' participation is key to effective ADR surveillance.
Purpose of the Study:
- To systematically map interventions and strategies aimed at improving ADR reporting.
- To identify effective methods for increasing ADR reporting among healthcare professionals.
- To provide an overview of current approaches to enhance pharmacovigilance.
Main Methods:
- A scoping review was conducted using the Arksey and O'Malley methodological framework.
- Systematic searches of major databases (Ovid MEDLINE, EMBASE, Web of Science) were performed from 1999 to February 2019.
- Included studies were screened, and data were extracted and descriptively analyzed.
Main Results:
- Ninety studies met the selection criteria from over 14,500 initial papers.
- Computerized registration and active surveillance significantly increase ADR reporting.
- Educational interventions, reminders, feedback, awards, and simplified reporting channels improve ADR reporting in the short to medium term.
Conclusions:
- Multiple interventions appear more effective than single strategies for enhancing ADR reporting rates.
- While educational interventions show promise, their long-term sustainability requires further investigation.
- Higher quality studies are needed to definitively assess the long-term impact of interventions on ADR reporting.
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