DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20175220

Knowledge, attitude and practice of adverse drug reactions reporting among nurses in a tertiary care centre

Priyanka S. Survase, Amit P. Date, Archana S. Borkar, Rupesh T. Badwaik, Riaz A. Siddiqui, Tanaji R. Shende, Amruta V. Dashputra

Abstract


Background: Adverse drug reactions are one of the major medicine related problem related to pharmacotherapy which may lead to increased morbidity and mortality causing increased hospital stay and financial burden on the society. Spontaneous voluntary reporting of adverse drug reaction can play a vital role in generating safety signals in which nurses can play important role, hence this study was undertaken to evaluate the knowledge attitude and practice of ADR reporting along with factors affecting reporting among nurses.

Methods: The present study was a cross sectional questionnaire based study, which included nurses of a tertiary care hospital in central India. We tried to find out the possible ways to perk up spontaneous reporting of ADR and factors responsible for scarce reporting of ADRs.

Results: After analyzing the data, we observed few of responders were aware of the ADR reporting system and the most encouraging finding was that majority of the responders were of the view that this reporting system is necessary. However, response to practice related questions was below average. Main factors which discouraged ADR reporting by nurses was thinking that reporting would lead to extra work and non availability of forms.

Conclusions: The deficiencies in ADR reporting require awareness so as to perquisite spontaneous reporting and improve safety of patients. Training to nurses will lead to improvement in reporting of ADR.


Keywords


Pharmacovigilance, Spontaneous reporting, Under reporting

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References


World Health organization. The Importance of Pharmacovigilance - Safety Monitoring of Medicinal Products; 2002;1-52.

Kharkar M, Bowalekar S. Knowledge Attitude and Practice (KAP) of medical practitioners in India towards Adverse Drug Reaction (ADR) Reporting. Perspect Clin Res. 2012;3:90-4.

Rajesh R, Vidyasagar S. An Educational Intervention to asses’ knowledge attitude practice of pharmacovigilance among healthcare professionals in an Indian tertiary care teaching hospital. International J of Pharma Tech Research. 2011;3(2):678-92.

Kongkaew C, Noyce PR, Ashcroft DM. Hospital admissions associated with adverse drug reactions: a systematic review of prospective observational studies. Ann Pharmacother. 2008;42(7):1017-25.

Rehan HS, Vasudev K, Tripathi CD. Adverse drug reaction monitoring: knowledge, attitude and practices of Medical students and prescribers. Natl Med J India. 2002;15(1):24.

Santosh KC, Tragulpiankit P, Gorsanan S, Edwards IR. Attitudes among healthcare professionals to the reporting of adverse drug reactions in Nepal. BMC Pharmacol Toxicol. 2013;14:16.

Guidance document for spontaneous adverse drug reaction reporting. India: Indian Pharmacopoeia Commission. 2014;80.

John LJ, Mohamad A. Reporting of ADR: an exploratory study among nurses in a technical hospital. Ajman, United Arab Emirates. Daru J Pharm Sci. 2012;20(44):2-6

Desai CK, Iyer G. An evaluation of KAP of ADR reporting among prescribers at a tertiary care hospital. Perspect clin Res. Oct-Dec 2011;2(4):129-36.

Inman WH: Attitudes to adverse drug-reaction reporting. Br J Clin Pharmacol. 1996;41:433-5.

Li Q, Zhang SM, Chen HT, Fang SP, Yu X, Liu D, et al: Awareness and attitudes of healthcare professionals in Wuhan, China to the reporting of adverse drug reactions. Chin Med J. 2004;117:856-61.

Vidyasagar RR, Varma DM. An Educational Intervention to assess Knowledge Attitude Practice of pharmacovigilance among Health care professionals in an Indian tertiary care teaching hospital. International Journal of Pharm Tech Research. 2011;3(2):678-92.

Palaian S, Ibrahim MI, Mishra P. Health professionals’ knowledge, attitude and practices towards pharmacovigilance in Nepal. Pharmacy Practice. 2011;9(4):228-35.

Hajebi G, Mortazavi SA, Salamzadeh J, Zian A. A Survey of Knowledge, Attitude and Practice of Nurses towards Pharamacovigilance in Taleqani Hospital. Iranian Journal of Pharmaceutical Research. 2010;9(2):199-206.

Hanafi S, Torkamandi H, Hayatshahi A, Kheirollah G, Javadi M. Knowledge attitudes and practice of nurses regarding adverse drug reaction reporting. IJNMR. 2012;17(1):1-7.

Kalaiselvan V, Thota P, Singh GN. Pharmacovigilance Programme of India: Recent developments and future perspectives. Indian J Pharmacol. 2016;48(6):624-8.

Kalaiselvan V, Prasad T, Bisht A, Singh S, Singh GN. Adverse drug reactions reporting culture in Pharmacovigilance Programme of India. Indian J Med Res. 2014;140(4):563-4.

Vishnu K, Mamtha KR, Jayanthi CR, Knowledge attitude and practice towards pharmacovigilance among postgraduate medical student at a tertiary care hospital : a cross sectional questionaaire based study Int Journal of Basic and Clinical Pha. 2017;6(4):968-71.

Khan SA, Goyal C, Chandel N, Rafi M. Knowledge, attitudes, and practice of doctors to adverse drug reaction reporting in a teaching hospital in India: An observational study. J Nat Sci Biol Med. 2013;4(1):191-6.

Sultan A, Melike O, Sule G, Burku A. An evaluation of knowledge of pharmacovigilance among nurses and midwives in Turkey Indian J Pharmacol. 2013;45(6):616-8.