scholarly journals Analyzing Information Seeking and Drug-Safety Alert Response by Health Care Professionals as New Methods for Surveillance

2015 ◽  
Vol 17 (8) ◽  
pp. e204 ◽  
Author(s):  
Alison Callahan ◽  
Igor Pernek ◽  
Gregor Stiglic ◽  
Jure Leskovec ◽  
Howard R Strasberg ◽  
...  
2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Nicola Diviani ◽  
Eva Haukeland Fredriksen ◽  
Corine S. Meppelink ◽  
Judy Mullan ◽  
Warren Rich ◽  
...  

Background. Online health information (OHI) is widely available and consulted by many people in Western countries to gain health advice. The main goal of the present study is to provide a detailed account of the experiences among people from various demographic backgrounds living in high-income countries, who have used OHI. Design and methods. Thematic analysis of 165 qualitative semi-structured interviews conducted among OHI users residing in Australia, Israel, the Netherlands, Norway, and Switzerland was performed. Results. The lived experience of people using OHI seem not to differ across countries. The interviews show that searches for OHI are motivated from curiosity, sharing of experiences, or affirmation for actions already taken. Most people find it difficult to appraise the information, leading them to cross-check sources or discuss OHI with others. OHI seems to impact mostly some specific types of health behaviors, such as changes in diet or physical activity, while it only plays a complementary role for more serious health concerns. Participants often check OHI before seeing their GP, but are reluctant to discuss online content with health care personnel due to expected negative reception. Conclusions. This study adds to the body of knowledge on eHealth literacy by demonstrating how OHI affects overall health behavior, strengthens patients’ ability to understand, live with, and prepare themselves for diverse health challenges. The increasing digitalization of health communication and health care calls for further research on digital divides and patient-professional relations. Health care professionals should acknowledge OHI seeking and engage in discussions with patients to enable them to appreciate OHI, and to support shared decision making in health care. The professionals can utilize patient’s desire to learn as a resource for health prevention, promotion or treatment, and empowerment.


2013 ◽  
pp. 1453-1473
Author(s):  
Jimmy Jose

Any substance that is capable of producing a therapeutic effect can also produce unwanted or adverse effects. It is important to understand the basic concepts related to Adverse Drug Reactions (ADRs): epidemiology, classification, predisposing factors, evaluation parameters, and surveillance methods. Pharmacovigilance is defined as the science and activities relating to the detection, evaluation, understanding, and prevention of ADRs or any other drug-related problems. It involves patients, medical professionals, the pharmaceutical industry, drug regulatory agencies, and academic scientists. Pharmacoinformatics, the application of information technology with regard to the drug design, development, and drug use has played a major role in the appropriate implementation of pharmacovigilance at industry, regulatory, and hospital levels. The functioning of international regulatory agencies and drug safety departments of pharmaceutical industries has been greatly influenced by pharmacoinformatics. Pharmacoinformatics has changed the way in which health care is practiced. Modern information technology can be used by health care professionals for various purposes and, thereby, make a substantial contribution to optimize the quality of medication use in institutions with due importance of safety. Pharmacoinformatics has a major influence in the development of pharmacogenetics and its individual applications including improving drug safety. Pharmacoinformatics will play a major role in the future development and practice of pharmacovigilance. The present chapter is aimed at providing the readers an insight into the importance and basic concepts of pharmacovigilance, and the process involved in it. Application of pharmacoinformatics in improving drug safety at various levels from an industry, regulatory and hospital perspective is discussed.


2015 ◽  
Vol 116 (3/4) ◽  
pp. 173-186 ◽  
Author(s):  
Iman Tahamtan ◽  
Mina Tavassoli Farahi ◽  
Askar Safipour Afshar ◽  
Hamid R Baradaran

Purpose – The purpose of this paper is to list the resources that Iranian health-care professionals used to access drug-related information, to know the features and types of drug information resources which were much more important for health-care professionals, the problems they encountered in seeking drug information and the way they organized and re-found the information that they had retrieved. Drug-related queries are one of the most common types of questions in medical settings. Design/methodology/approach – This was a descriptive-analytical study conducted in Iran during 2014. The data collection tool was a self-designed questionnaire. Data analysis was conducted using Statistical Package for Social Sciences. Descriptive statistics and chi-square test were used to analyse the data and examine the research hypothesis. Findings – Participants used books, drug manuals, search engines and medical databases more frequently, and less than half of them consulted colleagues to acquire drug-related information for clinical, educational and research purposes. Handheld computers were used by most participants to access and store drug information. Lack of access to drug information and lack of enough time were the main obstacles in seeking drug information. A significant association (p value = 0.024) was detected between organizing and re-finding information for future uses. Originality/value – This study investigated drug information-seeking behaviours of health-care professionals and the way they managed this information in a developing country that lacks necessary information technology infrastructures. Training programmes are required to help health-care professionals to find and access reliable and up-to-date drug information resources and to more easily re-find the found drug information for future uses.


CJEM ◽  
2017 ◽  
Vol 20 (1) ◽  
pp. 89-99 ◽  
Author(s):  
Shannon D. Scott ◽  
Lauren Albrecht ◽  
Lisa M. Given ◽  
Lisa Hartling ◽  
David W. Johnson ◽  
...  

AbstractThe majority of children requiring emergency care are treated in general emergency departments (EDs) with variable levels of pediatric care expertise. The goal of the Translating Emergency Knowledge for Kids (TREKK) initiative is to implement the latest research in pediatric emergency medicine in general EDs to reduce clinical variation.ObjectivesTo determine national pediatric information needs, seeking behaviours, and preferences of health care professionals working in general EDs.MethodsAn electronic cross-sectional survey was conducted with health care professionals in 32 Canadian general EDs. Data were collected in the EDs using the iPad and in-person data collectors.ResultsTotal of 1,471 surveys were completed (57.1% response rate). Health care professionals sought information on children’s health care by talking to colleagues (n=1,208, 82.1%), visiting specific medical/health websites (n=994, 67.7%), and professional development opportunities (n=941, 64.4%). Preferred child health resources included protocols and accepted treatments for common conditions (n=969, 68%), clinical pathways and practice guidelines (n=951, 66%), and evidence-based information on new diagnoses and treatments (n=866, 61%). Additional pediatric clinical information is needed about multisystem trauma (n=693, 49%), severe head injury (n=615, 43%), and meningitis (n=559, 39%). Health care professionals preferred to receive child health information through professional development opportunities (n=1,131, 80%) and printed summaries (n=885, 63%).ConclusionBy understanding health care professionals’ information seeking behaviour, information needs, and information preferences, knowledge synthesis and knowledge translation initiatives can be targeted to improve pediatric emergency care. The findings from this study will inform the following two phases of the TREKK initiative to bridge the research-practice gap in Canadian general EDs.


2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1300.2-1300
Author(s):  
M. Beermann ◽  
K. Nilke Nordlund

Background:The project “Lead Patients – a new resource for health”, led by researcher Sara Riggare at Karolinska Institutet and financed by Vinnova, the Swedish innovation authority, launched in 2017 and the Swedish National Organization for Young Rheumatics was one out of 14 partners. One of our tasks was to develop training courses for health care staff, and to try out what happens when lead patients are giving the opportunity to educate. We developed and produced nine different courses, and during the Autumn of 2019, we had the chance to try out two of them within the project.Objectives:The aim was to switch the perspective and see what would happen when patients’ expertise and knowledge is used to educate health care professionals and challenge the norm about health care professionals being superior. The objective with first training course, “Teams that enable self-realization”, was to create conditions and find new methods for the health care professionals to better support patients with what actually matters to them. The objective with the second training course, “Anti-oppressive pedagogy and language impact”, was to create new knowledge as a group and find methods for inclusion and anti-discrimination.Methods:“Teams that enable self-realization” was conducted as an interactive lecture with a concluding workshop. The lecture was based on results from the Swedish Young Rheumatics Report, teamwork and the Swedish Patient Act. The workshop consisted of a case, where the participants were supposed to come up with a plan for a first meeting and treatment of a patient. “Anti-oppressive pedagogy and language impact” was conducted in two parts, with one week in between the two occasions. The first one was mainly a lecture with background and theory about anti-oppressive pedagogy, norms and power structures, followed by a workshop where the participants analyzed the organizations’ own value principals. The second occasion was a deepened discussion with the purpose of identifying new methods for work and strategies to move forward.Results:The main goal with the training was to highlight positive examples and create creative conditions to be able to identify these new methods and tools. And during the training, there was a great will from the staff to work in a more patient-centered way and let what is most important fort the patient to be what is directing the meeting. Some suggested that the patient should be considered a part of the health care team, but that methods are missing for making it work today. There was also a great will to reflect over what consequences the current health care system might have, and to discuss possible changes. It was exciting to see the traditional hierarchy, where patients are seen as passive receivers of care, being challenged for real and letting patients not only talk about “what it’s like to live with a chronic disease” but actually be seen as capable and qualified educators.Conclusion:If lead patient-led training becomes an obvious and vital part in building and develop the health care system, it will lead to new opportunities and possibilities to better form the health care based on patients’ needs, both strategically and operational. Because converting to a patient focused care isn’t just about changing old attitudes and organizational culture, it’s also about building new adapted structures and methods for governing the health care system.Disclosure of Interests:None declared


Author(s):  
Doreen K.M. M'Rithaa ◽  
Sue Fawcus ◽  
Mikko Korpela ◽  
Retha De la Harpe

Background: Daily activities within a health care organisation are mediated by information communication processes (ICP) involving multiple health care professionals at different levels of care. Effective perinatal management requires critical information to be accurately communicated. If there is a breakdown in this communication patient safety is at risk for various reasons such as: inadequate critical information, misconception of information and uninformed decisions being made. The purpose of this study was to interpret the complexities around ICP in order to contribute to the effective management of the intrapartum period.Methods: Multi method, multiple case study approach was used to understand the ICP during the management of the intrapartum period. During the study, the expected ICP, the actual ICP, the challenges involved and the desired ICP were analysed. Twenty-four in-depth interviews with skilled birth attendants (SBAs) employing observer-as-participant roles, field notes, and document review methods were utilised to gather the data. Thematic analysis was utilised to analyse the data using Atlas TI software.Results: The study revealed three subthemes which emerged from the expected ICP, whilst three others that emerged formed the theme actual ICP. The subthemes from the expected ICP included: accessibility of obstetric services, expected referral, recommended tools, expected communication and expected documentation. The theme actual ICP held threee merging subthemes: the handover processes, collaborative information seeking, information communicated and referral processes.Conclusion: This study showed that what was expected was not what was actually happening. The requirements of the policies and protocols need to be effectively implemented to improve practice building these into current biomedical guidelines.


Author(s):  
Jimmy Jose

Any substance that is capable of producing a therapeutic effect can also produce unwanted or adverse effects. It is important to understand the basic concepts related to Adverse Drug Reactions (ADRs): epidemiology, classification, predisposing factors, evaluation parameters, and surveillance methods. Pharmacovigilance is defined as the science and activities relating to the detection, evaluation, understanding, and prevention of ADRs or any other drug-related problems. It involves patients, medical professionals, the pharmaceutical industry, drug regulatory agencies, and academic scientists. Pharmacoinformatics, the application of information technology with regard to the drug design, development, and drug use has played a major role in the appropriate implementation of pharmacovigilance at industry, regulatory, and hospital levels. The functioning of international regulatory agencies and drug safety departments of pharmaceutical industries has been greatly influenced by pharmacoinformatics. Pharmacoinformatics has changed the way in which health care is practiced. Modern information technology can be used by health care professionals for various purposes and, thereby, make a substantial contribution to optimize the quality of medication use in institutions with due importance of safety. Pharmacoinformatics has a major influence in the development of pharmacogenetics and its individual applications including improving drug safety. Pharmacoinformatics will play a major role in the future development and practice of pharmacovigilance. The present chapter is aimed at providing the readers an insight into the importance and basic concepts of pharmacovigilance, and the process involved in it. Application of pharmacoinformatics in improving drug safety at various levels from an industry, regulatory and hospital perspective is discussed.


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