Healthcare personnel's experience of reporting adverse drug reactions in Baghdad city: cross-sectional study

Int J Clin Pharm. 2019 Oct;41(5):1307-1313. doi: 10.1007/s11096-019-00867-7. Epub 2019 Jun 25.

Abstract

Background Adverse drug reactions (ADRs) are undesirable effects to drugs at doses normally used in the clinical setting for diagnosis, treatment or prophylaxis of diseases. Spontaneous ADR reporting is currently considered as a critical part of ADRs detection. Objective The study aims to assess the knowledge, attitude, and practice of healthcare providers towards adverse drug reaction reporting in public and private settings within the Baghdad area. Method We follow a quantitative cross-sectional study design, using a self-administered questionnaire to collect data from the healthcare providers regarding their reporting practice. Main outcome The outcome measures include the experiences of reporting of adverse drug reactions and the available systems, in addition to the expected benefits to clinical practice. Results Among 485 respondents, 114 were able to differentiate ADRs from side effects. About half of them (47.6%) recognized the availability of reporting systems and 43.3% knew how to report adverse drug reactions. 43.7% of the respondents mentioned that ADRs should be reported only when they are life-threatening. Among the 188 respondents who encountered ADRs, 145 reported the events to the accessible local authority. Conclusion The healthcare providers working in Baghdad healthcare institutions have a good attitude toward ADR reporting. There is a relatively below-standard reporting culture of the encountered adverse reactions. The inadequate knowledge about adverse reactions and the unavailability of reporting forms played a major role in discouraging healthcare professionals to detect and report ADRs.

Keywords: ADRs reporting; Adverse drug reaction; Healthcare providers; Iraq; Pharmacovigilance.

MeSH terms

  • Adult
  • Adverse Drug Reaction Reporting Systems*
  • Attitude of Health Personnel
  • Cross-Sectional Studies
  • Culture
  • Drug-Related Side Effects and Adverse Reactions
  • Female
  • Health Knowledge, Attitudes, Practice
  • Health Personnel*
  • Humans
  • Iraq
  • Male
  • Middle Aged
  • Patient Safety
  • Pharmacovigilance
  • Surveys and Questionnaires
  • Young Adult