Abstract:

Objective To investigate the prevention and response of clinicians to disputes of adverse drug reactions (ADR), and explore effective ways for medical institutions to deal with disputes of ADR. Methods Questionnaire survey was conducted in 370 clinicians selected from 10 affiliated hospitals of Shanghai Jiaotong University School of Medicine. The questionnaires were composed of two sections. The basic conditions of clinicians were included in one section, and the other section was about a specific survey concerned with the basic concept of ADR, and the recognition and application of prevention measures and methods dealing with ADR disputes. Results A total of 361 questionnaires (97.57%) were recovered, with 347 effective questionnaires (96.12%). Most clinicians were in favor of the commonly adopted prevention measures and methods dealing with ADR disputes. More than 60% of clinicians believed that all the prevention measures to ADR disputes were effective. For the methods dealing with ADR disputes, 37.5% of clinicians were for the measure of “waiving charges”, and more than 60% of clinicians approved the other methods dealing with ADR disputes. Conclusion At present, “standard reporting cases”, “referring to drug manual”, “notification before treatment” and “guidance of clinical pharmacists” are commonly used in medical institutions for the prevention of disputes, and “establishing a uniform and standard process”, “dealing with ADR in the first time” and “making relevant records” are common responses to disputes, while “waiving charges” has a low recognition degree.

Key words: adverse drug reaction, dispute, prevention, response, clinician