A Narrative Review of Adverse Event Detection, Monitoring, and Prevention in Indian Hospitals

Abstract

An adverse event is any abnormal clinical finding associated with the use of a therapy. Adverse events are classified by reporting an event's seriousness, expectedness, and relatedness. Monitoring patient safety is of utmost importance as more and more data becomes available. In reality, very low numbers of adverse events are reported via the official path. Chart review, voluntary reporting, computerized surveillance, and direct observation can detect adverse drug events. Medication errors are commonly seen in hospitals and need provider and system-based interventions to prevent them. The need of the hour in India is to develop and implement medication safety best practices to avoid adverse events. The utility of artificial intelligence techniques in adverse event detection remains unexplored, and their accuracy and precision need to be studied in a controlled setting. There is a need to develop predictive models to assess the likelihood of adverse reactions while testing novel pharmaceutical drugs.

Untitled

“…Others can be unpredictable and idiosyncratic (20%-25%) [13]. Immunologic ADRs comprised of only 5%-10% of all cADRs [12,18] and can be subcategorized into four main types (Type I-IV) (Figure 1) [12,18,39] as following:…”

Cutaneous Adverse Drug Reactions to Antibiotics: How Much is the Extent of the Problem?

“…Others can be unpredictable and idiosyncratic (20%-25%) [13]. Immunologic ADRs comprised of only 5%-10% of all cADRs [12,18] and can be subcategorized into four main types (Type I-IV) (Figure 1) [12,18,39] as following:…”