Powell Greg, Kara Vijay, Naranjo Daniel, Kulkarni Mangesh, Best-Sule Kerri, Coster Trinka, Bonafede Machaon, Gangadhar Shruti, Kallenbach Lee, Bate Andrew
GSK, 5 Moore Dr, Durham, NC, USA.
GSK, London, UK.
Ther Innov Regul Sci. 2025 Jan;59(1):124-134. doi: 10.1007/s43441-024-00711-9. Epub 2024 Nov 17.
A digital point-of-care solution was implemented to test the feasibility of near-real-time bi-directional communication between pharmacovigilance experts (PVEs) and healthcare professionals (HCPs) for exchanging unique and informative adverse event (AE) information. The solution was implemented in a commercially available electronic health record (EHR) system/platform, no direct contact between PVEs and the HCPs was possible. The Clinical Affairs team of the EHR vendor was used as an intermediary to ensure appropriate information was exchanged while protecting HCP and patient privacy. The study yielded 9 drug-event pairs of interest (AEI), 2 of which were confirmed as AEs by the HCP. On average it took 20.6 h to receive initial AEI information and 58.8 h to receive follow-up information, which represents a 96% reduction in time compared to current methods. Both interactions provided unique data that would not have been collected otherwise leading to the PVE being able to appropriately determine a potential causal association. This study successfully demonstrated the feasibility of using a compliant, bi-directional, digitally enabled clinical communication channel at the point of care to complement existing pharmacovigilance activities.
实施了一种数字即时医疗解决方案,以测试药物警戒专家(PVE)与医疗保健专业人员(HCP)之间近乎实时双向通信以交换独特且信息丰富的不良事件(AE)信息的可行性。该解决方案在一个商用电子健康记录(EHR)系统/平台中实施,PVE与HCP之间无法进行直接接触。EHR供应商的临床事务团队被用作中介,以确保在保护HCP和患者隐私的同时交换适当的信息。该研究产生了9对感兴趣的药物 - 事件对(AEI),其中2对被HCP确认为AE。平均而言,接收初始AEI信息需要20.6小时,接收后续信息需要58.8小时,与当前方法相比,时间减少了96%。这两种交互都提供了否则无法收集到的独特数据,从而使PVE能够适当地确定潜在的因果关联。这项研究成功证明了在即时医疗点使用合规、双向、数字化的临床通信渠道来补充现有药物警戒活动的可行性。