Hadi Muhammad Abdul, Neoh Chin Fen, Zin Rosdi M, Elrggal Mahmoud E, Cheema Ejaz
School of Healthcare, Faculty of Medicine and Health, University of Leeds, Leeds, UK.
Collaborative Drug Discovery Research Group, Faculty of Pharmacy, Universiti Teknologi MARA, Puncak Alam, Salangor.
Integr Pharm Res Pract. 2017 Mar 22;6:91-98. doi: 10.2147/IPRP.S105881. eCollection 2017.
Globally, adverse drug reactions (ADRs), one of the leading causes of morbidity and mortality, will continue to pose a threat to public health as long as drugs are being used to treat various ailments. Prompt ADR reporting is crucial in ensuring drug safety. The aim of this narrative review was to highlight the role of pharmacists in pharmacovigilance and to identify barriers and facilitators toward ADR reporting documented in the literature. The perspective of pharmacy students on pharmacovigilance and ADR reporting has also been discussed with an aim to highlight the need to improve content related to ADR reporting and pharmacovigilance in undergraduate pharmacy curriculum. Globally, although the role of pharmacists within national pharmacovigilance systems varies, it is very well recognized. In general, pharmacists acknowledge that ADR reporting is part of their professional responsibility and have a positive attitude toward reporting ADRs. However, current research evidence suggests that there are still critical knowledge gaps with regard to ADR reporting among pharmacists, especially in countries where the role of pharmacists within the health care system is limited. These knowledge gaps can be fulfilled through continuous professional development programs and reinforcing theoretical and practical knowledge in undergraduate pharmacy curriculums. Without adequately identifying and fulfilling training needs of pharmacists and other health care professionals, the efficiency of national pharmacovigilance systems is unlikely to improve which may compromise patient's safety.
在全球范围内,药物不良反应(ADR)是发病和死亡的主要原因之一,只要使用药物治疗各种疾病,它就会继续对公众健康构成威胁。及时报告药物不良反应对于确保用药安全至关重要。本叙述性综述的目的是强调药剂师在药物警戒中的作用,并确定文献中记载的药物不良反应报告的障碍和促进因素。还讨论了药学专业学生对药物警戒和药物不良反应报告的看法,旨在强调在本科药学课程中改进与药物不良反应报告和药物警戒相关内容的必要性。在全球范围内,尽管药剂师在国家药物警戒系统中的作用各不相同,但已得到广泛认可。总体而言,药剂师承认报告药物不良反应是其职业责任的一部分,并且对报告药物不良反应持积极态度。然而,目前的研究证据表明,药剂师在药物不良反应报告方面仍存在关键的知识差距,尤其是在药剂师在医疗保健系统中的作用有限的国家。这些知识差距可以通过持续专业发展计划以及加强本科药学课程中的理论和实践知识来弥补。如果不能充分识别并满足药剂师和其他医疗保健专业人员的培训需求,国家药物警戒系统的效率就不太可能提高,这可能会危及患者安全。