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Attitudes and knowledge of community pharmacy professionals regarding the spontaneous reporting of adverse drug reactions: a preliminary study in Coimbra, Portugal

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Abstract

Background

Spontaneous reporting of adverse drug reactions (ADRs) remains one of the most efficient methods to detect new, unusual, and severe ADRs. Community pharmacy professionals (CPPs) play a fundamental role in the reporting of spontaneous ADRs. The aim of this study was to describe the attitudes and knowledge of different CPP groups regarding the spontaneous reporting of ADRs and to identify the factors that can influence ADR under-reporting.

Methods

A cross-sectional descriptive study was conducted in CPPs (156 pharmacists and 40 pharmacy technicians) working in 49 pharmacies in Coimbra, Portugal. A survey of the knowledge and attitudes of CPPs towards reporting ADRs and the factors that encourage and discourage ADR reporting was constructed and personally delivered to the pharmacies.

Results

The response rate was 82.0%. The seriousness and the unusualness of the reaction were the most important motives to report ADRs (98.0 and 97.4% of respondents, respectively). CPPs also considered ADR reporting to be a professional obligation (96.4%), but “don’t feel the need to report well-known ADRs” (54.1%). Other attitudes associated with under-reporting were lack of time (50.0%), method of reporting (38.3%), and fear of legal liability (29.6%).

Conclusions

CPPs’ knowledge and behavior play a significant role in ADR reporting. Despite the differences in their educational syllabus, there were no statistical differences between pharmacists and pharmacy technicians with regard to their perception of the importance of ADR reports or the factors that affect their reporting. It may be possible to reduce the under-reporting of ADRs by introducing educational interventions based on the attitudes related to under-reporting that have been identified in this study.

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Acknowledgements

The manuscript has been read and approved by all authors and all authors agreed to the submission of the manuscript to the Journal. The authors would like to thank Clara Rocha, Ph.D. at the Coimbra Health School for her contribution to the data analysis.

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Correspondence to Cristiano Matos.

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No sources of funding were used to assist in the preparation of this manuscript.

Conflict of interest

Cristiano Matos, João Joaquim, and Timóteo Pires have no conflicts of interest that are directly relevant to the content of this study.

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Matos, C., Joaquim, J. & Pires, T. Attitudes and knowledge of community pharmacy professionals regarding the spontaneous reporting of adverse drug reactions: a preliminary study in Coimbra, Portugal. Drugs Ther Perspect 33, 88–94 (2017). https://doi.org/10.1007/s40267-016-0355-9

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