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01.12.2010 | Research | Ausgabe 1/2010 Open Access

Chiropractic & Manual Therapies 1/2010

Could chiropractors screen for adverse drug events in the community? Survey of US chiropractors

Zeitschrift:
Chiropractic & Manual Therapies > Ausgabe 1/2010
Autoren:
Monica Smith, Lisa Bero, Lynne Carber
Wichtige Hinweise

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

MS conceived and designed the study, analyzed and interpreted the data, and prepared the manuscript including critical revisions. LB participated in analysis and interpretation of data and in manuscript preparation. LC participated in study design and data acquisition and in manuscript preparation. All authors read and approved the final manuscript.

Abstract

Background

The "Put Prevention into Practice" campaign of the US Public Health Service (USPHS) was launched with the dissemination of the Clinician's Handbook of Preventive Services that recommended standards of clinical care for various prevention activities, including preventive clinical strategies to reduce the risk of adverse drug events. We explored whether nonprescribing clinicians such as chiropractors may contribute to advancing drug safety initiatives by identifying potential adverse drug events in their chiropractic patients, and by bringing suspected adverse drug events to the attention of the prescribing clinicians.

Methods

Mail survey of US chiropractors about their detection of potential adverse drug events in their chiropractic patients.

Results

Over half of responding chiropractors (62%) reported having identified a suspected adverse drug event occurring in one of their chiropractic patients. The severity of suspected drug-related events detected ranged from mild to severe.

Conclusions

Chiropractors or other nonprescribing clinicians may be in a position to detect potential adverse drug events in the community. These detection and reporting mechanisms should be standardized and policies related to clinical case management of suspected adverse drug events occurring in their patients should be developed.
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