title: Comparison of knowledge, attitude and practices of resident doctors and nurses on adverse drug reaction monitoring and reporting in a tertiary care hospital.
abstract: BACKGROUND
  Lack of knowledge of pharmacovigilance (PhV) and adverse event (AE) reporting culture among the healthcare providers have been identified as major factors for under reporting of AE in developing countries. Hence, this study was planned to assess and compare the knowledge, attitude, and practices (KAP) of resident doctors and nurses about PhV and AE reporting.
  
  
  METHODS
  This cross-sectional, questionnaire-based study was conducted to compare KAP of 100 doctors and 100 nurses on PhV and AE reporting.
  
  
  RESULTS
  All the respondents felt that AE reporting is necessary and two-thirds were aware of the existing PhV Program of India. Significantly, higher proportion of doctors had correct understanding regarding PhV (P<0.05) and knew what should be reported (P<0.05) but nurses (75%) knew better about where to report (P<0.001). Significantly (P<0.001), more doctors (98%) felt that the patients are benefited by reporting AE. Nurses (96%) felt the need for information on drugs causing AE and their management strategy (P<0.001). Around 60% of all the respondents were in favor of mandatory PhV and feedback on the submitted AE. Doctors (67%) (P<0.05) had a practice of inquiring patients for any untoward outcome of therapy. Higher proportion (P<0.05) of nurses (55%) mentioned that observed AE are recorded in patient's case record, but random screening of 1000 patients' record did not reveal it. Nurses mentioned that they never reported any AE (P<0.05) and witnessed discussions on ADRs during the ward rounds (P<0.001). All the respondents preferred phone as the convenient method for reporting AE followed by drop box kept in the ward/OPD and felt the need of frequent workshops and continuing medical education.
  
  
  CONCLUSIONS
  Resident doctors and nurses had good knowledge and awareness on AE reporting and PhV but their practices need to be improved.
authors.affiliation: Department of Pharmacology, Lady Hardinge Medical College, New Delhi, India.
authors.forename: H S
authors.initials: HS
authors.lastname: Rehan
authors.forename: Ravinder Kumar
authors.initials: RK
authors.lastname: Sah
authors.forename: Deepti
authors.initials: D
authors.lastname: Chopra
mesh_terms: D016903:Drug Monitoring; D064420:Drug-Related Side Effects and Adverse Reactions / Q000139:chemically induced*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009726:Nurses; D010820:Physicians; D011795:Surveys and Questionnaires; D062606:Tertiary Care Centers