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关于药物不良反应报告的重要信息:一项定性研究

Important information regarding reporting of adverse drug reactions: a qualitative study.

作者信息

Rolfes Leàn, Wilkes Sarah, van Hunsel Florence, van Puijenbroek Eugène, van Grootheest Kees

机构信息

Netherlands Pharmacovigilance Centre Lareb, 's-Hertogenbosch, The Netherlands; Department of Pharmacy, Pharmacotherapy and Pharmaceutical Care, University of Groningen, Groningen, The Netherlands.

出版信息

Int J Pharm Pract. 2014 Jun;22(3):231-3. doi: 10.1111/ijpp.12056. Epub 2013 Aug 13.

Abstract

OBJECTIVE

To give an overview of the views of different types of reporters (patients and healthcare professionals (HCPs)) and assessors of adverse drug reactions (ADRs) on what they consider important information regarding an ADR report.

METHODS

A semi-structured interview was conducted among reporters and assessors of ADRs in the Netherlands. All interviews were audiotaped and transcribed verbatim. Content analysis was used on the data. All transcripts were coded individually by two researchers. A list was drafted of all elements of information mentioned during the interviews.

KEY FINDINGS

In total 16 interviews were conducted. Elements of information that were explicitly brought up during the interviews were the impact of the ADR on the patient's daily life and information regarding causality. Furthermore, the correctness of reported information was found important by assessors of ADRs. Generally, patient reporting was seen as a very positive development for pharmacovigilance.

CONCLUSION

Patients reported that the severity of ADRs and their impact on daily life were important subjects. In the interviews with HCPs, either reporters or assessors, the focus was mainly on causality. The correctness of the given information is considered by ADR assessors to be very important. Regarding patient reporting the overall view was positive. Because HCPs and patients have different views regarding ADR reporting, in daily practice it is important to receive reports from both groups to assess the true nature of the ADR.

摘要

目的

概述不同类型的报告者(患者和医疗保健专业人员)及药品不良反应(ADR)评估者对于他们认为ADR报告中重要信息的看法。

方法

在荷兰对ADR的报告者和评估者进行了半结构化访谈。所有访谈均进行录音并逐字转录。对数据进行内容分析。所有转录本由两名研究人员单独编码。起草了一份访谈中提到的所有信息要素清单。

主要发现

共进行了16次访谈。访谈中明确提出的信息要素包括ADR对患者日常生活的影响以及因果关系信息。此外,ADR评估者认为报告信息的正确性很重要。总体而言,患者报告被视为药物警戒方面非常积极的进展。

结论

患者报告称ADR的严重程度及其对日常生活的影响是重要主题。在对医疗保健专业人员(无论是报告者还是评估者)的访谈中,重点主要在于因果关系。ADR评估者认为所提供信息的正确性非常重要。对于患者报告,总体看法是积极的。由于医疗保健专业人员和患者对ADR报告有不同看法,在日常实践中,接收两组的报告对于评估ADR的真实性质很重要。

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