TY - JOUR
T1 - Medical students as junior adverse drug event managers facilitating reporting of ADRs
AU - Reumerman, Michael O.
AU - Tichelaar, Jelle
AU - Richir, Milan C.
AU - van Agtmael, Michiel A.
N1 - Funding Information: The authors want to thank the VU University Medical Centre (former name of the Amsterdam University Medical Centers, location VUmc) for awarding the Junior Adverse Drug Event Managers the VUmc Innovation prize in 2018, Mrs R. Harting, Mrs S. van der Hoorn, Mrs M. Koeman, Mrs S. Mahmoud, Mrs A. Mahraoui and Mr F. Mocking as student coordinators of the Junior-Adverse Drug Event Managers, and all students participating in the learner-centred student-run program. The project was funded with a VU University Medical Centre Innovation prize. Publisher Copyright: © 2021 The Authors. British Journal of Clinical Pharmacology published by John Wiley & Sons Ltd on behalf of British Pharmacological Society.
PY - 2021/12
Y1 - 2021/12
N2 - The Junior Adverse Drug Event Manager (J-ADEM) team is a multifaceted intervention focusing on real-life education for medical students that has been shown to assist healthcare professionals in managing and reporting suspected adverse drug reactions (ADRs) to the Netherlands Pharmacovigilance Centre Lareb. The aim of this study was to quantify and describe the ADRs reported by the J-ADEM team and to determine the clinical potential of this approach. The J-ADEM team consisted of medical students tasked with managing and reporting ADRs in hospitalized patients. All ADRs screened and reported by J-ADEM team were recorded anonymously, and categorized and analysed descriptively. From August 2018 through January 2020, 209 patients on two wards in an academic hospital were screened for ADR events. The J-ADEM team reported 101 ADRs. Although most ADRs (67%) were first identified by healthcare professionals and then reported by the J-ADEM team, the team also reported an additional 33 not previously identified serious ADRs. In 10% of all reported ADRs, the J-ADEM team helped optimize ADR treatment. The ADR reports were largely well-documented (78%), and ADRs were classified as type A (66%), had a moderate or severe severity (85%) and were predominantly avoidable reactions (69%). This study shows that medical students are able to screen patients for ADRs, can identify previously undetected ADRs and can help optimize ADR management. They significantly increased (by 300%) the number of ADR reports submitted, showing that the J-ADEM team can make a valuable clinical contribution to hospital care.
AB - The Junior Adverse Drug Event Manager (J-ADEM) team is a multifaceted intervention focusing on real-life education for medical students that has been shown to assist healthcare professionals in managing and reporting suspected adverse drug reactions (ADRs) to the Netherlands Pharmacovigilance Centre Lareb. The aim of this study was to quantify and describe the ADRs reported by the J-ADEM team and to determine the clinical potential of this approach. The J-ADEM team consisted of medical students tasked with managing and reporting ADRs in hospitalized patients. All ADRs screened and reported by J-ADEM team were recorded anonymously, and categorized and analysed descriptively. From August 2018 through January 2020, 209 patients on two wards in an academic hospital were screened for ADR events. The J-ADEM team reported 101 ADRs. Although most ADRs (67%) were first identified by healthcare professionals and then reported by the J-ADEM team, the team also reported an additional 33 not previously identified serious ADRs. In 10% of all reported ADRs, the J-ADEM team helped optimize ADR treatment. The ADR reports were largely well-documented (78%), and ADRs were classified as type A (66%), had a moderate or severe severity (85%) and were predominantly avoidable reactions (69%). This study shows that medical students are able to screen patients for ADRs, can identify previously undetected ADRs and can help optimize ADR management. They significantly increased (by 300%) the number of ADR reports submitted, showing that the J-ADEM team can make a valuable clinical contribution to hospital care.
KW - medical education
KW - pharmacotherapy
KW - pharmacovigilance
KW - reporting ADRs
UR - http://www.scopus.com/inward/record.url?scp=85106500053&partnerID=8YFLogxK
U2 - https://doi.org/10.1111/bcp.14885
DO - https://doi.org/10.1111/bcp.14885
M3 - Article
C2 - 33955031
SN - 0306-5251
VL - 87
SP - 4853
EP - 4860
JO - British journal of clinical pharmacology
JF - British journal of clinical pharmacology
IS - 12
ER -