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A prospective analysis of the preventability of adverse drug reactions reported in Sweden
Östergötlands Läns Landsting, Center for Diagnostics, Department of Clinical Pharmacology. Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0002-5371-3827
Linköping University, Department of Medical and Health Sciences, Division of Drug Research. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, Clinical Pharmacology. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, Division of Drug Research. Linköping University, Faculty of Health Sciences.
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2012 (English)In: European Journal of Clinical Pharmacology, ISSN 0031-6970, E-ISSN 1432-1041, Vol. 68, no 8, 1183-1189 p.Article in journal (Refereed) Published
Abstract [en]

Adverse drug reactions (ADRs) are a major patient safety issue, and a substantial proportion of ADRs are, in fact, preventable. The aim of this study was to describe the proportion and pattern of preventable ADRs in spontaneously reported suspected ADRs and to study the feasibility of using data from an ADR reporting system for this purpose. less thanbrgreater than less thanbrgreater thanAll reports of ADRs, except those in which a vaccine was the suspected drug, submitted to the regional pharmacovigilance center of southeastern Sweden between 2008 and 2009 were analyzed. Causality between the suspected ADR and the medication was assessed using the World Health Organization (WHO) criteria, and preventability was assessed using Hallas criteria. less thanbrgreater than less thanbrgreater thanDuring the study period, 1,290 ADRs were received and 1,255 were classified as having at least a possible causality between a reaction and a drug. Of these, 172 (14%) ADRs were considered preventable, 35 (20%) were classified as definitely preventable, and 137 (80%) as possibly preventable. Of all preventable ADRs, 96 (56%) were related to prescribing, 35 (20%) to administration, and 41 (24%) to clinical and laboratory monitoring of treatment. Warfarin, oxycodone, and ioversol were the most common drugs with preventable ADRs. less thanbrgreater than less thanbrgreater thanThis study found that a substantial part of reported ADRs are preventable. Most of these are related to drug prescription, suggesting that interventions aiming to reduce preventable ADRs should focus on this process. Moreover, systems for ADR reporting may be useful in the mission of reducing the unsafe use of drugs.

Place, publisher, year, edition, pages
Springer Verlag (Germany) , 2012. Vol. 68, no 8, 1183-1189 p.
Keyword [en]
Adverse drug reaction, Preventability, Spontaneous reporting system
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-79979DOI: 10.1007/s00228-012-1237-2ISI: 000306426800007OAI: oai:DiVA.org:liu-79979DiVA: diva2:544954
Note

Funding Agencies|County Council of Ostergotland||Swedish Medical Product Agency||

Available from: 2012-08-17 Created: 2012-08-17 Last updated: 2017-12-07Bibliographically approved

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Lövborg, HenrikRing Eriksson, LindaBradley, ThomasHägg, Staffan

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