In our study, less percentage of participants had ever been trained on reporting ADRs which is similar to the low percentage of training imparted to healthcare professionals in previously reported studies from Indore and Trivandrum.Department of Pharmacology, Deccan College of Medical Sciences, Hyderabad, Telangana, India Most importantly, the huge gap between the ADR experienced and ADR reported by healthcare professional was also evident in previously reported studies conducted in Trivandrum, Nagpur, Bangalore, and Ahmedabad. The adverse event reporting rate from our study is low which is similar to previously reported different Indian studies from Trivandrum, Nagpur, Bangalore, Jalandhar, Ahmedabad, and Indore. The comparison with the results of the published studies from India demonstrated that knowledge and attitude towards pharmacovigilance is gradually improving among healthcare professionals, but unfortunately the actual practice of ADR reporting is still deficient among them. Other reasons were lack of training, unawareness regarding the ADR reporting form, ignorance of the rules, and procedure for reporting. The determinants of underreporting, from our study include no remuneration, lack of time to report ADR, belief that a single unreported case may not affect ADR database, and difficulty to decide whether ADR has occurred or not. The factors responsible for underreporting were also determined in this study. In this study there was huge gap between the ADR experienced (64.4%) and ADR reported (22.8%) by healthcare professional. The fact that majority of respondents agreed that reporting of ADR is necessary and pharmacovigilance should be taught in detail to healthcare professionals is a major findings from our study. The questionnaire was finalized after ambiguous and unsuitable questions were modified based on the result of pretest. Pretesting of questionnaire was done on 20 randomly selected health professionals of the institute. These questions were designed based on earlier studies for assessing KAP of ADR reporting. ![]() One question was asked to determine the reasons for underreporting. There were 20 questions in all (seven related to knowledge, four related to attitude, and eight related to practice). KAP questionnaire was designed to assess the demographic details of the healthcare professionals, their knowledge of pharmacovigilance, attitudes towards pharmacovigilance, and their practice on ADR reporting. The study participants consisted of all the healthcare professionals (doctors, nurses, and pharmacists) who gave their informed consent and who were working at the hospital during the study period. The study was a cross-sectional questionnaire-based study. The secondary objective was to compare the findings of this study with the results of the published studies from India on evaluation of the KAP of pharmacovigilance among healthcare professional. The second primary objective was to assess the causation of underreporting of ADRs as it needs to be well-assessed in India. Although many studies in India have evaluated the KAP of pharmacovigilance among the healthcare professionals, it is imperative to conduct similar studies in teaching hospital of other parts of India to generalize findings of those studies. Therefore the primary objective of this study was to evaluate the knowledge, attitude, and practices (KAP) of the healthcare professionals about pharmacovigilance in Dhanalakshmi Srinivasan Medical College and Hospital (DSMCH), Perambalur (Tamil Nadu), a tertiary care teaching hospital. Previous reported study has found that underreporting of ADR is related with shortcomings in the knowledge and attitude among healthcare professionals. ![]() There is a requirement for constant training and enactment of regulations for ADR reporting among healthcare professionals. ![]() Notwithstanding the constant endeavor by the Pharmacovigilance Programme of India towards inculcating a culture of ADR monitoring underreporting is still very prevalent. The active participation of healthcare professionals in the pharmacovigilance program can improve the ADR reporting. It is important for healthcare professionals to know how to report and where to report an ADR. In India, all healthcare professionals including doctors, nurses, and pharmacists can report an ADR by filling an ADR form of the Central Drugs Standard Control Organization. Hence, proper monitoring of ADRs is a necessity. One of the major reasons of morbidity and mortality all over the world is adverse drug reactions (ADRs).
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