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Table 5 Reasons for ADR misreporting from three different HCPs

From: Adverse drug reactions (ADRS) reporting: awareness and reasons of under-reporting among health care professionals, a challenge for pharmacists

Reasons Designation P value
Physician Pharmacist Nurse
N % N % N %
ADR reporting system not incorporated because of limited awareness of the health care professionals
 Strongly disagree 7 3.8 0 0.0 1 1.4 0.515
 Disagree 16 8.8 8 7.5 12 17.4  
 Neutral 42 23.1 11 10.4 22 31.9  
 Agree 76 41.8 49 46.2 23 33.3  
 Strongly agree 41 22.5 38 35.8 11 15.9  
ADR reporting system not incorporating in Karachi Hospitals because of financial issues
 Strongly disagree 10 5.5 2 1.9 3 4.3 0.982
 Disagree 37 20.3 18 17.0 14 20.3  
 Neutral 46 25.3 26 24.5 17 24.6  
 Agree 58 31.9 44 41.5 30 43.5  
 Strongly agree 31 17.0 16 15.1 5 7.2  
ADR’s not reported because of shortage of time
 Strongly disagree 10 5.5 2 1.9 1 1.4 0.013
 Disagree 49 26.9 21 19.8 13 18.8  
 Neutral 40 22.0 14 13.2 17 24.6  
 Agree 56 30.8 42 39.6 25 36.2  
 Strongly agree 27 14.8 27 25.5 13 18.8  
ADR’s not reported because of unavailiblity of reporting forms
 Strongly disagree 8 4.4 1 0.9 0 0.0 0.517
 Disagree 26 14.3 22 20.8 11 15.9  
 Neutral 40 22.0 19 17.9 17 24.6  
 Agree 84 46.2 50 47.2 30 43.5  
 Strongly agree 24 13.2 14 13.2 11 15.9  
ADR’s not reported because complacency (uncertinity that ADR occurred due to drug administered)
 Strongly disagree 4 2.2 3 2.8 0 0.0 0.011
 Disagree 22 12.1 14 13.2 7 10.1  
 Neutral 127 69.8 44 41.5 44 63.8  
 Agree 22 12.1 34 32.1 12 17.4  
 Strongly agree 7 3.8 11 10.4 6 8.7  
ADR’s not reported because of the belief that all marketted drugs are safe
 Strongly disagree 13 7.1 15 14.2 1 1.4 0.006
 Disagree 35 19.2 27 25.5 14 20.3  
 Neutral 122 67.0 48 45.3 35 50.7  
 Agree 12 6.6 10 9.4 13 18.8  
 Strongly agree 0 0.0 6 5.7 6 8.7  
Community pharmacy (medical stores) lacking legally qualified pharmacist causing non reporting
 Strongly disagree 7 3.8 3 2.8 0 0.0 0.243
 Disagree 26 14.3 1 0.9 7 10.1  
 Neutral 27 14.8 13 12.3 17 24.6  
 Agree 60 33.0 30 28.3 28 40.6  
 Strongly agree 62 34.1 59 55.7 17 24.6  
Fatal ADR’s are mostly not reported because usually general public donot allow conducting postmartem studies
 Strongly disagree 5 2.7 0 0.0 0 0.0 0.721
 Disagree 20 11.0 4 3.8 3 4.3  
 Neutral 24 13.2 18 17.0 18 26.1  
 Agree 75 41.2 46 43.4 34 49.3  
 Strongly agree 58 31.9 38 35.8 14 20.3