The PharmWatch programme: challenges to engaging the community pharmacists in Jamaica

Main Article Content

Maxine Gossell-Williams
Sarafadeen A. Adebayo

Keywords

Adverse Drug Reaction Reporting Systems, Pharmacists, Jamaica

Abstract

In February 2006, there was a renewed effort to encourage reporting of adverse drug reactions (ADRs) in Jamaica. It involved renaming the process the “PharmWatch” programme and revising the reporting form.

Objectives: The aims of this study were to assess the attitudes of community pharmacists to ADR reporting and to assess their utilization of the PharmWatch programme.

Methods: The survey was conducted in January 2007, involving 102 community pharmacists islandwide. A questionnaire was designed to assess their attitudes towards ADR reporting, their awareness of the PharmWatch programme and also to collate number of ADRs through recall. Pharmacists were then followed prospectively to collect ADRs occurring over the next three months using the PharmWatch form.

Results: Although most of the pharmacists involved in the survey had more than five years of experience, the majority (67%) were not aware of the PharmWatch programme; however, 86% of the responding pharmacists indicated that they accepted that ADR reporting was a professional responsibility. They identified “reaction already known”, “more information needed about reporting ADRs” and “lack of time” as key factors that would cause non-reporting. One hundred and twenty eight retrospective ADRs were collected; none were reported to the Ministry of Health directly, while two were reported to the respective drug companies. A three month prospective follow-up with pharmacists yielded 45 reports. The most common ADR reports among both the retrospective and prospective data were associated with anti-infectives.

Conclusions: The results suggest that awareness of the PharmWatch programme is not adequate to facilitate active participation in ADR reporting. More proactive interventions, such as continuous training and encouragement in the use of ADR reporting should be considered.

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References

1. Zolezzi M, Parsotam N. Adverse drug reaction reporting in New Zealand:implications for pharmacists. Ther Clin Risk Manag. 2005;1(3):181-188.

2. World Health Organization. Safety of Medicines. Guidelines for setting up and running a pharmacovigilance centre. Geneva:WHO;2000.

3. World Health Organization. Safety of Medicines. A guide to detecting and reporting adverse drug reactions. Why health professionals need to take action. Geneva:WHO;2002.

4. Edwards IR , Aronson JK. Adverse drug reaction: Definitions, diagnosis and management. Lancet. 2000;356:1255-1259.

5. Lasser KE, Allen PD, Woolhandler SJ Himmelstein DU, Wolfe SM. Timing of new blackbox warnings and withdrawals for prescription medication. JAMA 2002;287:2215-2220.

6. Wysowski D, Swartz L. Adverse Drug Surveillance and Drug Withdrawals in the United States, 1969-2000. Arch Intern Med. 2005;165:1363-1369.

7. Rainsford KD. Anti-inflammatory drugs in the 21st century. Subcell Biochem 2007;42:3-27.

8. Sanger GJ, Alpers DH. Development of drugs for gastrointestinal motor disorders: translating science to clinical need. Neurogastroenterol Motil. 2008;20(3):177-184.

9. van Grootheest K, Olsson S, Couper M, de Jong-van den Berg L. Pharmacists’ role in reporting adverse drug reactions in an international perspective. Pharmacoepidemiol Drug Saf. 2004;13:457-464.

10. Terceros Y, Chahine-Chaktoura C, Malinowski JE, Rickley WF. Impact of a pharmacy resident on hospital length of stay and drug-related costs. Ann Pharmacother. 2007;41(5):742-748.

11. Phansalkar S, Hoffman JM, Nebeker JR, Hurdle JF. Pharmacists versus nonpharmacists in adverse drug event detection: a meta-analysis and systematic review. Am J Health Syst Pharm. 2007;64(8):842-849.

12. Viktil KK, Blix HS. The impact of clinical pharmacists on drug-related problems and clinical outcomes. Basic Clin Pharmacol Toxicol. 2008;102(3):275-280.

13. Bigby M. Rates of cutaneous reactions to drugs. Arch Dermatol. 2001;137(6):765-770.

14. Svensson CK, Cowen EW, Gaspari AA. Cutaneous drug reactions. Pharmacol Rev. 2001;53(3):357-379.

15. Gossell-Williams M. Generic Substitutions: A 2005 survey of the acceptance and perceptions of physicians in Jamaica. West Indian Med J. 2007;56(5):458-463.

16. Gossell-Williams M, Harriott K. Generic substitution in Jamaica:challenges to improving effectiveness. WHO Drug Information. 2007;21(4):294-299.

17. Green CF, Mottram DR, Rowe PH, Pirmohamed M. Attitudes and knowledge of hospital pharmacists to adverse drug reaction reporting. Br J Clin Pharmacol. 2001;51(1):81-86.

18. Irujo M, Beitia G, Bes-Rastrollo M, Figueiras A, Hernández-Díaz S, Lasheras B. Factors that influence under-reporting of suspected adverse drug reactions among community pharmacists in a Spanish region. Drug Saf. 2007;30(11):1073-1082

19. Bracchi R, Houghton J, Woods F, Thomas S Small SA, Routledge P. A distant-learning programme in pharmacovigilance linked to educational credits is associated with imporved reporting of suspected adverse drug reactions via the UK yellow card system. Br J Clin Pharmacol. 2005;60(2):221-223.

20. Sweis D, Wong ICK. A survey on factors that could affect adverse drug reaction reporting according to hospital pharmacists in Great Britain. Drug Saf. 2000;23:165-172.

21. Herdeiro MT, Polonia J, Gestal-Otero JJ, Figueiras A. Improving the reporting of adverse drug reactions : a cluster-randomized trial among pharmacists in Portugal. Drug Saf. 2008; 31(4):335-344.

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