title: Knowledge, attitudes, and practice of doctors to adverse drug reaction reporting in a teaching hospital in India: An observational study.
abstract: BACKGROUND
  Underreporting of spontaneous adverse drug reaction (ADR) is a threat to pharmacovigilance. Various factors related with the knowledge and attitudes are responsible for underreporting of ADRs.
  
  
  OBJECTIVE
  The study was aimed at investigating the knowledge and attitudes of doctors to ADR reporting.
  
  
  METHODS
  It was a questionnaire-based cross-sectional study. One hundred and eight questionnaires were administered to doctors working in a teaching hospital with an ADR monitoring center.
  
  
  METHODS
  The descriptive statistics were used for responses to evaluate the knowledge and attitudes toward ADR reporting. Pearson's Chi-square test was used to observe the association of knowledge and attitude with experience and position.
  
  
  RESULTS
  The response rate was 62.9%. Spontaneous reporting rate was found to be 19.1%. The major factors found to be responsible for underreporting of ADR include inadequate risk perception about newly marketed drugs (77.9%), fear factor (73.5%), diffidence (67.7%), lack of clarity of information on ADR form about reporting (52.9%), lethargy (42.7%), insufficient training to identify ADRs (41.2%), lack of awareness about existence of pharmacovigilance program (30.9%) and ADR monitoring center in the institute (19.1%), and inadequate risk perception of over-the-counter (OTC) product (20.6%) and herbal medicines (13.2%). Experience and position did not influence the knowledge and attitudes of doctors.
  
  
  CONCLUSIONS
  The deficiencies in knowledge and attitudes require urgent attention not only to improve the rate of spontaneous reporting, but also for enhanced safety of the patients and society at large.
authors: Department of Pharmacology, SAIMS Medical College and PG Institute, Indore, Madhya Pradesh (MP), India.
authors: Sarfaraz Alam
authors: SA
authors: Khan
authors: Chhaya
authors: C
authors: Goyal
authors: Nitibhushansingh
authors: N
authors: Chandel
authors: Mohammed
authors: M
authors: Rafi
keywords: Attitude; doctors; knowledge; pharmacovigilance; spontaneous reporting
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