An evaluation of trigger tool method for adverse drug reaction monitoring at a tertiary care teaching hospital
Objectives: The objective of this study is to evaluate the trigger tool method (TTM) in detection, monitoring, and reporting of adverse drug reactions (ADRs) at Civil Hospital Ahmedabad, India. Materials and Methods: A prospective, single-center, observational cum intervention study was conducted in...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Perspectives in Clinical Research |
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| Online Access: | http://www.picronline.org/article.asp?issn=2229-3485;year=2021;volume=12;issue=1;spage=33;epage=39;aulast= |
| _version_ | 1818654965142388736 |
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| author | Urmila Menat Chetna K Desai Jigar R Panchal Asha N Shah |
| author_facet | Urmila Menat Chetna K Desai Jigar R Panchal Asha N Shah |
| author_sort | Urmila Menat |
| collection | DOAJ |
| description | Objectives: The objective of this study is to evaluate the trigger tool method (TTM) in detection, monitoring, and reporting of adverse drug reactions (ADRs) at Civil Hospital Ahmedabad, India.
Materials and Methods: A prospective, single-center, observational cum intervention study was conducted in two phases in the Department of Medicine over 15 months. In phase I, preliminary trigger tool list (PTTL) comprising 55 triggers was evaluated by pharmacologist in terms of detection of ADR in 400 patients and then, modified trigger tool list (MTTL) was prepared. In Phase II, the TTM using MTTL was compared with the spontaneous method of ADR monitoring after educational interventions in resident doctors of the two units of medicine department.
Results: Of the 55 triggers in PTTL, 34 triggers were observed in 327 patients, of which 19 triggers lead to the detection of 66 ADRs. The rate of ADEs was 16.5%/100 patients. Positive predictive value (PPV) of each trigger ranged from 0% to 100%. PPV for drug trigger, laboratory trigger , and PT was 14.4%, 4.5%, and 23.3%, respectively. Overall, PPV of PTTL was 19.27%. Sensitivity and specificity were 100% and 21.66%, respectively. MTTL consists of these 19 triggers. In Phase II, resident doctors reported 16 ADRs, using spontaneous method and 23 ADRs using MTTL. The rate of ADEs per 100 patients was 1.63 and 2.13, respectively, with these methods. A total of 105 ADRs were reported during both phases.
Conclusion: TTM is an effective method of ADR reporting if it is utilized by a trained person. This method could be used as add-on method to spontaneous method to improve ADR reporting. |
| first_indexed | 2024-12-17T03:02:10Z |
| format | Article |
| id | doaj.art-5f5928a0fc4c416287b365d04797321c |
| institution | Directory Open Access Journal |
| issn | 2229-3485 |
| language | English |
| last_indexed | 2024-12-17T03:02:10Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Perspectives in Clinical Research |
| spelling | doaj.art-5f5928a0fc4c416287b365d04797321c2022-12-21T22:06:04ZengWolters Kluwer Medknow PublicationsPerspectives in Clinical Research2229-34852021-01-01121333910.4103/picr.PICR_30_19An evaluation of trigger tool method for adverse drug reaction monitoring at a tertiary care teaching hospitalUrmila MenatChetna K DesaiJigar R PanchalAsha N ShahObjectives: The objective of this study is to evaluate the trigger tool method (TTM) in detection, monitoring, and reporting of adverse drug reactions (ADRs) at Civil Hospital Ahmedabad, India. Materials and Methods: A prospective, single-center, observational cum intervention study was conducted in two phases in the Department of Medicine over 15 months. In phase I, preliminary trigger tool list (PTTL) comprising 55 triggers was evaluated by pharmacologist in terms of detection of ADR in 400 patients and then, modified trigger tool list (MTTL) was prepared. In Phase II, the TTM using MTTL was compared with the spontaneous method of ADR monitoring after educational interventions in resident doctors of the two units of medicine department. Results: Of the 55 triggers in PTTL, 34 triggers were observed in 327 patients, of which 19 triggers lead to the detection of 66 ADRs. The rate of ADEs was 16.5%/100 patients. Positive predictive value (PPV) of each trigger ranged from 0% to 100%. PPV for drug trigger, laboratory trigger , and PT was 14.4%, 4.5%, and 23.3%, respectively. Overall, PPV of PTTL was 19.27%. Sensitivity and specificity were 100% and 21.66%, respectively. MTTL consists of these 19 triggers. In Phase II, resident doctors reported 16 ADRs, using spontaneous method and 23 ADRs using MTTL. The rate of ADEs per 100 patients was 1.63 and 2.13, respectively, with these methods. A total of 105 ADRs were reported during both phases. Conclusion: TTM is an effective method of ADR reporting if it is utilized by a trained person. This method could be used as add-on method to spontaneous method to improve ADR reporting.http://www.picronline.org/article.asp?issn=2229-3485;year=2021;volume=12;issue=1;spage=33;epage=39;aulast=adverse drug reactionadverse drug reaction monitoringpharmacovigilancetrigger tool method |
| spellingShingle | Urmila Menat Chetna K Desai Jigar R Panchal Asha N Shah An evaluation of trigger tool method for adverse drug reaction monitoring at a tertiary care teaching hospital Perspectives in Clinical Research adverse drug reaction adverse drug reaction monitoring pharmacovigilance trigger tool method |
| title | An evaluation of trigger tool method for adverse drug reaction monitoring at a tertiary care teaching hospital |
| title_full | An evaluation of trigger tool method for adverse drug reaction monitoring at a tertiary care teaching hospital |
| title_fullStr | An evaluation of trigger tool method for adverse drug reaction monitoring at a tertiary care teaching hospital |
| title_full_unstemmed | An evaluation of trigger tool method for adverse drug reaction monitoring at a tertiary care teaching hospital |
| title_short | An evaluation of trigger tool method for adverse drug reaction monitoring at a tertiary care teaching hospital |
| title_sort | evaluation of trigger tool method for adverse drug reaction monitoring at a tertiary care teaching hospital |
| topic | adverse drug reaction adverse drug reaction monitoring pharmacovigilance trigger tool method |
| url | http://www.picronline.org/article.asp?issn=2229-3485;year=2021;volume=12;issue=1;spage=33;epage=39;aulast= |
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