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M Reumerman1,2, J Tichelaar3,4, M C Richir3,4
1Pharmacotherapy Section, Department of Internal Medicine, Amsterdam UMC, location VU University Medical Center, De Boelelaan 1117, 1081, HV, Amsterdam, The Netherlands. m.reumerman@amsterdamumc.nl.
Naunyn-Schmiedeberg'S Archives of Pharmacology
|March 5, 2021
Summary
A Junior-Adverse Drug Event Manager (J-ADEM) program trained medical students to manage adverse drug reactions (ADRs) in hospitals. This feasible approach improved ADR detection, patient satisfaction, and student pharmacovigilance skills.
Area of Science:
- Pharmacovigilance
- Medical Education
- Patient Safety
Background:
- Managing adverse drug reactions (ADRs) presents a significant challenge due to insufficient healthcare professional training.
- Context-based clinical pharmacovigilance training is recognized as an effective strategy for improving ADR management.
Purpose of the Study:
- To assess the feasibility and impact of establishing a Junior-Adverse Drug Event Manager (J-ADEM) team composed of medical students.
- To evaluate the effectiveness of J-ADEMs in managing and reporting ADRs in hospitalized patients.
Main Methods:
- A feasibility study involving a team of medical students (J-ADEMs) managing and reporting ADRs in hospitalized patients.
- Student competence in ADR reporting was assessed using a case-control design and pre/post-program questionnaires.
- Data collected from August 2018 to August 2019 included patient screenings, ADR reports submitted to the Netherlands Pharmacovigilance Center Lareb, and patient/physician feedback.
Main Results:
- 41 students participated, screening 136 patients and submitting 65 ADR reports.
- High patient satisfaction reported, with 98% finding ADR reporting important and 100% feeling taken seriously.
- Attending physicians cited "lack of knowledge and attitudes" (50%) and "excuses" (49%) as reasons for not reporting ADRs themselves.
- J-ADEM students demonstrated significantly higher competence in managing ADRs and diagnosing them (83.3%) compared to the control group (38.5%, p < 0.001).
Conclusions:
- The J-ADEM team model is a feasible and effective approach for detecting and managing ADRs in hospital settings.
- The intervention led to improved patient care satisfaction, supported physicians in reporting obligations, and enhanced students' pharmacovigilance skills.
- This multi-faceted program offers a "win-win-win" outcome for patients, physicians, and medical trainees.
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