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Understanding and Using Health ExperiencesImproving patient care$
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Sue Ziebland, Angela Coulter, Joseph D. Calabrese, and Louise Locock

Print publication date: 2013

Print ISBN-13: 9780199665372

Published to Oxford Scholarship Online: May 2013

DOI: 10.1093/acprof:oso/9780199665372.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 18 January 2021

Harnessing patients’ awareness of adverse reactions to the drugs they take

Harnessing patients’ awareness of adverse reactions to the drugs they take

(p.116) Chapter 12 Harnessing patients’ awareness of adverse reactions to the drugs they take
Understanding and Using Health Experiences

Claire Anderson

Andrew Herxheimer

Oxford University Press

This chapter discusses adverse event reporting by patients and uses an example of how documentary analysis might be used to study patients’ reports. Pharmacovigilance is vital to patient safety as rare, delayed, serious and/or unexpected adverse events often appear only when medicines are widely used. Spontaneous reporting systems which support pharmacovigilance are present in many countries, but only 46 countries accept spontaneous patient reports and use differing systems. Direct reporting by patients may bring benefits including the promotion of consumer rights and equity, acknowledging that consumers have unique perspectives and experiences and healthcare organisations may benefit from consumer involvement. This includes the UK, where patients have been permitted to report suspected Adverse Drug Reactions (ADRs) directly. Despite concerns that patient reports may create noise and prove a drain on surveillance systems, a systematic review concluded that the benefits of direct reporting outweighed the costs, and three major studies in the Netherlands and the UK have compared patient reporting with that by professionals and concluded that ADR reporting by patients can make a big contribution to pharmacovigilance.

Keywords:   Adverse effects, side effects, patients experiences, medicines, drugs, pharmacovigilance, documentary analysis

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