Asahina Yasuko, Hori Satoko, Sawada Yasufumi
Graduate School of Interdisciplinary Information Studies, The University of Tokyo, Tokyo, Japan.
Yakugaku Zasshi. 2010 Jan;130(1):131-9. doi: 10.1248/yakushi.130.131.
Since we do not know much about the efficacy and safety of dietary supplements and functional foods (DS), it is important to collect DS-related events and to share the information among healthcare professionals. Therefore, we aimed to develop an internet-based system which would allow medical doctors and pharmacists to report DS-related events. We conducted a questionnaire survey among pharmacists about their experiences and views of DS-related adverse event reporting. Many pharmacists did not report events because they never had any patient who reported an event. This might have been, in part, owing to lack of awareness of an occurrence, so we collected events using our internet-based system, which periodically offers educational DS information. After educational commentaries and elucidation were appended, collected cases were distributed to the registered members via web pages to encourage them to be more concerned about the safety of DS. Additionally, we constructed a simple posting system for members to easily report similar events, because the questionnaire survey revealed that lack of time and uncertainty of causal relation between an event and DS were sometimes reasons not to report. We obtained several DS-related events both via the normal data collecting form and the simple posting system, and subsequently confirmed reports by e-mail contact. Our interactive system enabled us to obtain more detailed information about posted events. In conclusion, this information system for DS was proved to be useful to facilitate reporting of DS-related events by healthcare professionals and to accumulate events similar to already reported cases.
由于我们对膳食补充剂和功能性食品(DS)的功效及安全性了解不多,收集与DS相关的事件并在医疗保健专业人员之间共享信息非常重要。因此,我们旨在开发一个基于互联网的系统,使医生和药剂师能够报告与DS相关的事件。我们对药剂师进行了一项关于他们对DS相关不良事件报告的经验和看法的问卷调查。许多药剂师没有报告事件,因为他们从未有患者报告过此类事件。这在一定程度上可能是由于对事件发生缺乏认识,所以我们使用基于互联网的系统收集事件,该系统定期提供有关DS的教育信息。在附上教育性评论和说明后,收集到的案例通过网页分发给注册会员,以鼓励他们更加关注DS的安全性。此外,我们为会员构建了一个简单的发布系统,以便他们能够轻松报告类似事件,因为问卷调查显示,缺乏时间以及事件与DS之间因果关系的不确定性有时是不报告的原因。我们通过正常的数据收集表和简单的发布系统获得了几起与DS相关的事件,随后通过电子邮件联系确认了报告。我们的交互式系统使我们能够获取有关所发布事件的更详细信息。总之,这个DS信息系统被证明有助于促进医疗保健专业人员报告与DS相关的事件,并积累与已报告案例类似的事件。