Why Clinicians Don't Report Adverse Drug Events: Qualitative Study

JMIR Public Health and Surveillance
Corinne M HohlEllen Balka

Abstract

Adverse drug events are unintended and harmful events related to medications. Adverse drug events are important for patient care, quality improvement, drug safety research, and postmarketing surveillance, but they are vastly underreported. Our objectives were to identify barriers to adverse drug event documentation and factors contributing to underreporting. This qualitative study was conducted in 1 ambulatory center, and the emergency departments and inpatient wards of 3 acute care hospitals in British Columbia between March 2014 and December 2016. We completed workplace observations and focus groups with general practitioners, hospitalists, emergency physicians, and hospital and community pharmacists. We analyzed field notes by coding and iteratively analyzing our data to identify emerging concepts, generate thematic and event summaries, and create workflow diagrams. Clinicians validated emerging concepts by applying them to cases from their clinical practice. We completed 238 hours of observations during which clinicians investigated 65 suspect adverse drug events. The observed events were often complex and diagnosed over time, requiring the input of multiple providers. Providers documented adverse drug events in charts to s...Continue Reading

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Citations

Oct 21, 2018·Drug Safety : an International Journal of Medical Toxicology and Drug Experience·Nadezda AbramovaEmilia Richter
Apr 14, 2020·Pharmacoepidemiology and Drug Safety·Myfanwy GrahamWayne Hall
Jul 30, 2021·Drug Safety : an International Journal of Medical Toxicology and Drug Experience·Liliane ZorzelaSunita Vohra

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