Knowledge, Attitude, and Barriers Toward ADRs Reporting Among Health-Care Professionals at Tertiary Care Health Settings in Peshawar, Pakistan: A Web Based Study

2020 ◽  
pp. 001857872091040
Author(s):  
Iftikhar Ali ◽  
Wiqar Ahmad ◽  
Arslan Rahat Ullah ◽  
Faheemullah Khan ◽  
Muhammad Ijaz ◽  
...  
Keyword(s):  
Health Care Professionals ◽  
Tertiary Care ◽  
Time Frame ◽  
Regulatory Body ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Relative Index ◽  
Adr Reporting ◽  
Importance Index ◽  
Professional Environment

Background: Underreporting of adverse drug reactions (ADRs) is considered a major determinant of poor ADR signal detection in Pakistan. Considering this, the study was proposed to evaluate healthcare professionals’ (HCPs) knowledge attitude toward and the barriers that discourse ADRs reporting. Methods: A cross-sectional survey was distributed among HCPs in 3 major tertiary care facilities of Peshawar. A self-administered, 31 items questionnaire was circulated online to collect the required information. Relative index ranking was used to identify the top barriers to the ADR reporting process. Results: HCPs (n = 322) were requested, and over one-third (n = 122) responded. Of the total, 97 (79.5%) were males, and by designation, 59(48.4%) were resident medical officers. About 45% of the HCPs did not identify the appropriate pharmacovigilance (PV) definition. More than half of the HCPs (52.2%) distinguished the appropriate PV purpose. Nearly 80% HCPs did not know the acceptable reporting time frame, while 22.1% HCPs knew that regulatory body for ADRs does not exist in Pakistan. The majority (95.08%) of the HCPs either strongly agreed or agreed that reporting an ADRs is a professional obligation and all the HCPs were of the opinion that PV should be taught in detail to HCPs. Exploring the barriers, it was identified that the key barriers to ADRs reporting were “unavailability of professional environment to discuss ADRs,” Relative Importance Index (RII) = 0.813, “lack of incentives for reporting” (RII = 0.774), “lack of knowledge regarding reporting” (RII = 0.693), and “insufficient knowledge of pharmacotherapy in detecting ADRs” (RII = 0.662). In addition to these, “complicated reporting forms” (RII = 0.616), “lack of motivation for reporting ADRs” (RII = 0.610), and “absence of professional confidence” were seen as major hindrances in effective reporting of ADRs (RII = 0.598). Conclusion: Concerning PV and ADR reporting poor knowledge was noted. However, the majority of the HCPs showed an explicit attitude regarding ADRs reporting. The majority of the HCPs disclosed unavailability of professional environment to discuss about ADRs, lack of incentives, and how to report the main factors hindering the ADRs reporting. It is emphasized that health authorities carve out a niche for a well purposeful PV center and pledge educational activities and trainings for increasing understanding and approaches regarding reporting of ADR.

scholarly journals Assessment of awareness towards pharmacovigilance programme of india and reporting of adverse drug reactions among nurses in a tertiary care hospital

2018 ◽  
Vol 7 (7) ◽  
pp. 1357
Author(s):  
Atul Jain ◽  
Arpita Singh ◽  
Ajay Kumar Verma ◽  
Manish Soni
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Care Hospital ◽  
Feedback Form ◽  
Cross Sectional ◽  
Reporting Practices ◽  
Adr Reporting ◽  
Proper Training ◽  
First Contact

Background: The success of PvPI depends upon spontaneous reporting of ADRs by health care professionals especially nurses as they are usually first contact persons for patients in case of ADRs after use of medicines. Underreporting of ADRs due to inadequate reporting culture among health care professionals is the main hindrance in the path of this programme. So, to assess the awareness, attitude and practices of nurses regarding PvPI and ADR reporting this study was undertaken.Methods: It was a cross-sectional, questionnaire-based study in which 130 nurses responded. The 12-items questionnaire feedback form provided by Indian Pharmacopoeia Commission (IPC) was used to assess the awareness of nurses towards pharmacovigilance programme and Adverse Drug Reaction (ADR) reporting practices.Results: After analysing the questionnaire, it was observed that, despite satisfactory level of awareness and interest of the nurses to participate in this programme, still there is meagre ADR reporting practices among the nurses.Conclusions: Lack of reporting culture and improper communication is the root of problem which should be overcome in future by proper training for patient safety.

scholarly journals Knowledge, attitude and practice towards adverse drug reactions reporting in post graduate students of a tertiary care hospital

2019 ◽  
Vol 8 (6) ◽  
pp. 1320
Author(s):  
Aparna S. Chincholkar ◽  
Alisha Naik
Keyword(s):  
Adverse Drug Reactions ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Care Hospital ◽  
Drug Reactions ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Adr Reporting ◽  
Microsoft Office ◽  
Knowledge Attitude And Practice

Background: Adverse Drug Reactions (ADRs) are a major cause of morbidity and mortality. Under reporting of ADRs by health care professionals is a very common problem worldwide. So, the present study was planned to assess the knowledge, attitude and practices of postgraduate (PG) students towards ADR reporting and suggest possible ways for improvement.Methods: It was a cross sectional questionnaire-based study conducted among 44 PG students using a questionnaire with questions on knowledge (21), attitude (13) and practices (15) of ADR reporting. The questionnaire was analyzed question wise and the percentage was calculated using Microsoft Excel spreadsheet in Microsoft Office 2010 software.Results: Most of them were aware of the term pharmacovigilance (PV) (95.45%). 54.55% agreed to be trained on how to report an ADR. 88.63% knew about the existence of pharmacovigilance committee in the institute.93% of participants knew that Central Drug Standard Control Organization (CDSCO) is responsible for monitoring of ADRs. 56.82% were aware about VIGIBASE an online software to report ADR. 81.82% of participants had agreed to witness ADRs in patients but only 38.64% reported them. The main reason behind it was non – availability of ADR forms. 42.55% opine that mobile based app would be the most preferred method to send ADR information to an ADR reporting center.Conclusions: There exists a huge gap between ADR experienced and ADR reported by PG students. Participants agreed upon necessity of reporting ADR and periodic briefing about PV.

scholarly journals Knowledge, attitude and perception of suspected adverse drug reactions in consumers: a prospective observational study in a tertiary care hospital

2019 ◽  
Vol 8 (2) ◽  
pp. 337
Author(s):  
Leeyasid Shaik ◽  
Vasundhara Krishnaiah ◽  
Girish K.
Keyword(s):  
Adverse Drug Reactions ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Research Center ◽  
Pharmacovigilance System ◽  
Care Hospital ◽  
Drug Reactions ◽  
Cross Sectional ◽  
Adr Reporting ◽  
Consumer Reporting

Background: Adverse drug reactions (ADRs) are the main leading causes of hospitalization which leads to morbidity and mortality worldwide. Reporting of ADRs to national databases is necessary. To strengthen this system, consumers apart from health-care professionals have also been empowered to report any ADRs directly to the regulatory agencies. Direct and spontaneous patient or consumer reporting offers various benefits beyond pharmacovigilance (PV). Consumer reporting of ADRs has existed in several countries for decades, but in India, with the inclusion of consumer reporting of ADR, the data on the same is valuable and limited. Hence the present study is taken up. The aim of this study was to explore the knowledge, perceptions and practice of ADR reporting among consumers in KIMS hospital and research center, Bangalore.Methods: The data was collected from Patients attending OPD’s, admitted in wards and at pharmacy in KIMS Hospital and Research Center, Bangalore. It is a cross sectional descriptive study. Study period is for six months from 1st April to 31st September 2018 and sample size is 200. A structured questionnaire in English and Kannada was used as a tool.Results: Of the 200 patients from the surveyed, in males the knowledge scores were better when compared to females and attitude, perception scores were same (statistically not significant). Most of the patients opined for the establishment of consumer pharmacovigilance system at hospitals and local pharmacies.Conclusions: Knowledge about ADR reporting and pharmacovigilance is less in consumers. So that there is a need to increase awareness in consumers.

scholarly journals Exploring healthcare professionals’ knowledge, attitude, and practices towards pharmacovigilance: a cross-sectional survey

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Rabia Hussain ◽  
Mohamed Azmi Hassali ◽  
Furqan Hashmi ◽  
Tayyaba Akram
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Positive Attitude ◽  
Healthcare Professionals ◽  
Tertiary Care ◽  
Public Hospitals ◽  
Pharmacovigilance System ◽  
Cross Sectional ◽  
Adr Reporting ◽  
Post Marketing Surveillance

Abstract Background Spontaneous reporting of adverse drug reactions (ADRs) is a method of monitoring the safety of drugs and is the basic strategy for the post-marketing surveillance of the suspected drugs. Despite its importance, there is very little reporting of ADRs by healthcare professionals. The present study has evaluated the knowledge, attitude and practices of health care professionals (HCPs) regarding pharmacovigilance activities in Lahore, Pakistan. Methods A cross-sectional questionnaire-based survey was employed, and a convenience sampling was opted to collect the data among physicians, pharmacists and nurses working in tertiary care public hospitals of Lahore, Pakistan from September 2018 to January 2019. Results Of the 384 questionnaires distributed, 346 health care professionals responded to the questionnaire (90.10% response rate). Most participants had good knowledge about ADR reporting, but pharmacist had comparatively better knowledge than other HCPs regarding ADR (89.18%) pharmacovigilance system (81.08%), its centres (72.97%) and function (91.89%). Most of the participants exhibited positive attitude regarding ADR reporting, such as 49.1% of physicians (P < 0.05), 70.2% pharmacists and 76.1% nurses showed a positive attitude that they are the most important HCPs to report an ADR. About 64.3% of physicians (P < 0.05) emphasized that consulting other colleagues is important before reporting an ADR. Of all, 77.7% physicians, 75.7% pharmacists and 68% of nurses had positive attitude that ADR reporting is a professional obligation and 67.6% of the pharmacists stated that they have reported ADRs in their workplace and 77.2% nurses have verbally reported ADRs to the concerned personnel or department. Conclusion Among all HCPs, pharmacists had better knowledge about ADR reporting and pharmacovigilance. All HCPs had positive attitude and inclination towards ADR reporting. The discrepancies were observed in the practices related to ADR reporting, whereas most of the participants including physicians and nurses did not report any ADR. Based on the above, strategies are needed to educate, train, and empower the HCPs in the domain of pharmacovigilance.

scholarly journals Understanding and Perceptions of Skin Donation and Skin Banking among Health Care Professionals – Tertiary Care Centre in Eastern India

2021 ◽  
Vol 04 (06) ◽  
Author(s):  
Mrs. Serma Subathra Arunachalam ◽  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Attitude Scale ◽  
Clear Understanding ◽  
Cross Sectional Survey ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Average Hospital ◽  
Skin Banking

Introduction: The skin is our body’s most diverse organ. Other organs, such as the kidneys and liver, could be impaired and somehow still function, but the loss of 40percent of someone’s skin can be fatal. In developing countries, burns led to the deaths of the majority of people. The study aimed to establish the relationship between medical professionals’ awareness and attitudes regarding skin donation and skin banking. Methods: This cross-sectional survey was conducted at the All India Institute of Medical Sciences, Bhubaneswar, AIIMS, Odisha, between August 2020 to November 2020. A total of 124 health care practitioners from AIIMS, BBSR responded to the survey questions. It is divided into five sections: Social and economic data; Skin donation awareness survey, and skin bank attitude scale. Results: Less than half of health care professionals, 53.74 %, reported a lack of awareness of skin donation, and 56.16 per cent said lack of understanding of skin bank. The fair, positive relationship prevailed among skin donation awareness, and then either attitude (r=0.36, P=0.01), and a similar relationship existed between skin banking awareness and attitude (r=0.32, P=0.01). According to the report’s findings, having a clear understanding of skin donation and skin banking leads to positive behaviours. Conclusion: In this review, health care professionals’ awareness of skin donation and skin banking is average. Hospital and nursing administrators should be actively involved in education programmes to enhance nurses’ education and increase awareness about skin donation and skin banking.

scholarly journals Assessment of Health literacy and its determinants in patients visiting tertiary care hospital, Rawalpindi, Pakistan

2021 ◽  
Vol 10 (4) ◽  
pp. 220-225
Author(s):  
Aashi Ahmed ◽  
Bushra Anwar ◽  
Mehjabeen Qureshi ◽  
Maliha Asim ◽  
Nadia Nisar
Keyword(s):  
Health Literacy ◽  
Health Care Professionals ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Data Entry ◽  
Good Health ◽  
Care Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Related

Background: Health literacy refers to the ability to access, understand and use health related information to promote good health. It is required to achieve good health of an individual. Good health literacy has been shown to improve health outcomes of a person and is now the focus of many researches internationally. The objective of the study was to assess health literacy levels and its determinants in patients visiting tertiary care hospital in Rawalpindi Methods: This cross-sectional survey was conducted in three public sector tertiary care hospitals in duration of four months. 450 adults of either gender with age > 18 years capable of providing informed consent and able to communicate in any of the local languages were selected from outpatient and emergency departments. The data entry and statistical analysis were done using SPSS version 23. Results: 26.2% of people had poor health literacy, 56.4% had satisfactory health literacy whereas only 17.3% had good health literacy. Health literacy was poorest in domain of disease prevention (lowest mean score of 2.3+.86). Mean health literacy was significantly positively associated with higher income, and higher frequency of watching health-related television programs. Conclusion: Health literacy levels were found to be low in our study population. Gaps in health literacy should be addressed by more research and interventions. The health educators (health care professionals) can play a major role in helping to enhance the health literacy and act as an advocate for health education.

scholarly journals A questionnaire based cross sectional study of the knowledge, attitude and practice of pharmacovigilance among the health care professionals in a tertiary care teaching hospital in upper Assam, India

2019 ◽  
Vol 7 (10) ◽  
pp. 3833
Author(s):  
Swapnanil Gohain ◽  
Sahid Aziz ◽  
Meghali Chaliha
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Adr Reporting ◽  
Attitude And Practice ◽  
Postgraduate Trainee ◽  
Knowledge Attitude And Practice

Background: Adverse drug reactions (ADR) are one of the major reason of morbidity, mortality and increase in health-care costs. The pharmacovigilance programme of India (PvPI) encourages the active participation of all health care professionals (HCP) in reporting suspected ADR to ensure enhanced patient safety. But present statistics shows under reporting of suspected ADR. So, this study was undertaken with the objectives of assessing knowledge, attitude and practice (KAP) of pharmacovigilance among the HCP and to evaluate various reasons of under reporting of suspected ADR.Methods: This is a cross-sectional observational study of knowledge, attitude and practice (KAP) of HCP including faculties, resident doctors and postgraduate trainee (PGT), internship doctors and nurses on pharmacovigilance; conducted at department of Pharmacology, Jorhat Medical College and Hospital(JMCH). The pretested and peer reviewed questionnaire was distributed among 150 HCP and the responses were collected after one day. Data were analyzed using MS-excel software and was expressed in percentage.Results: Out of 150 questionnaires, 118 responses were received (32 faculties, 27 PGT, 38 internship doctors and 21 nurses). Good knowledge (78.4%) and fair attitude was found among the HCP but there was lack of practice of pharmacovigilance due to reasons mainly non availability of suspected ADR reporting form (27.1%), didn’t think reporting was necessary (34%), fear of consequences (16.1%) and lack of awareness (16.1%) among others.Conclusions: Good attitude was observed among HCP. With proper measures like sensitization and educational intervention ADR, reporting may be improved in the future.

scholarly journals Pharmacovigilance Study of Anticancer Drugs in a Tertiary Care Rural Hospital in Central India

2021 ◽  
Vol 14 (2) ◽  
pp. 597-606
Author(s):  
Dipankar Chakraborty ◽  
Ranjana S Kale ◽  
Lakshman Das ◽  
Mousumi Das ◽  
Sonali Kirde
Keyword(s):  
Anticancer Drugs ◽  
Tertiary Care ◽  
Central India ◽  
Drug Reactions ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Case Record ◽  
Case Record Form ◽  
Adr Reporting ◽  
Set Up

The present study has been undertaken to evaluate the pattern of adverse drug reactions (ADRs) of intravenous anticancer (i.v.) drugs with their causality and severity in a tertiary health care set up. The study was an observational cross-sectional survey over a period of 18 months. The indoor patients who were diagnosed to have cancer and receiving i.v. anticancer drugs were included in the study. The details of the patients and ADRs were recorded at the time of visit or within one-month of occurrence of ADRs using case record form and ADR reporting form. A total of 374 patients on cancer chemotherapy were included in the study and ADR was seen in 293(78.34%) patients. Out of total 812 number of ADRs, most ADRs (51.60%) were G.I. system related, followed by skin and appendages related ADRs (23.88%). The association of females in developing haematological ADRs is statistically significant (p<0.05). Most common (19.80%) cause of ADRs was the use of combination of Cisplatin, Paclitaxel and 5 Fluorouracil. Most (90.02%) of the ADRs were categorized as ‘possible’ and the remaining (9.98%) as ‘probable/likely’. The maximum number of the ADRs were classified as ‘mild’(87.68%) followed by moderate (11.45%) and severe (0.86%). The mild reactions were more common as compare to moderate & severe category in G.I & haematology related ADRs (p<0.05).

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