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Kind Attn: Dr. Mira Madam

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Dear Dr. Mira Madam:

Thanks a lot for acceding to my request and bestowing us with your valuable suggestions. At the time of selecting this topic for discussion I had gone through the list of 100 discussions held over Netrum (published in March issue of our monthly newsletter). Though I could identify a couple of discussions held on Pharmacovigilance in general, there was none on enhancing ADR reporting in particular, hence this discussion. But of course, it is quite possible that during those two discussions members could have touched upon this aspect too. Anyways I am not sure whether hospitals of our country have a fool-proof mechanism of reviewing and ascertaining the cause of patient deaths occuring in the hospital. How helpful could monthly or weekly review meeting be in identifying adverse events occuring in the hospital and attributing causality and level of severity to them. These meetings could be held under the auspices of Drugs and

Therapeutic Commmitte also. If every fatality in the hospital is probed thoroughly during such review meetings, we may be able to collect important information on the incidence of severe and fatal ADRs that go unreported. Furthermore regular periodic review committee meetings could be helpful in identifying less severe and non-fatal ADRs too. Kindly throw some light on this if possible.

With Regards

Dr. Geer M. Ishaq

Sr. Assistant Professor

Dept. of Pharmaceutical Sciences

University of Kashmir

Srinagar-190006 (J & K)

Ph: 9906673100, 01942429503

Website: http://ishaqgeer.googlepages.com

From: Mira Desai <desaimirak@...>netrum Sent: Wed, 18 November, 2009 1:36:20 PMSubject: Re: your participation solicited

Dear Dr Geer,Yes, I am not able to contribute at this forum for long due to my commitments. I too miss the active participation.well, the current topic has been discussed in past at length. The initial response from the clinicans has been positive. However, to sustain this activity

Each hospital should have a centrally place pharmacovigilance cell providing special services on ADR reporting and drug information centre.

Arrange frequent meetings with clinicians and postgraduate students of different department specially medicine, psychiatry, dermatology

Organize workshops and training courses on Ph vigilance for postgraduates on regular basis

Involve pharmacist and nurses in the programme

Integrate Pharmacovigilance as a part of UG and PG curriuclum including medicine, psychiatry, dematology etc.

all the wards should be eqiped with a box Dr. Mira Desai M. D Professor of PharmacologyB J Medical CollegeAhmedabad 380016Cell Phone No : 91 9825057107Residence: 91 079 26856161 91 079 26856161

From: Geer M. Ishaq <ishaqgeer (DOT) co.in>Subject: your participation solicitednetrumgroups (DOT) comDate: Tuesday, 17 November, 2009, 10:43 PM

Dear Mira Ma'm:

It has been quite long since I saw u post over netrum. We are badly missing your expert comments. Kindly do participate in the ongoing discussion and post your experiences on the current topic. Your expertise is deeply solicited.

With Regards

Dr. Geer M. Ishaq

Sr. Assistant Professor

Dept. of Pharmaceutical Sciences

University of Kashmir

Srinagar-190006 (J & K)

Ph: 9906673100, 01942429503

Website: http://ishaqgeer. googlepages. com

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Dear Dr Geer,There will be few teaching hospital having functional mortality meetings. The idea is to improve the system, educate the health care workers and not to victimizes anyone. The deliberations will bring out sensitive issues and definately help to find out the cause of death, provided all are taken into confidence and have a open mind set and support of higher authorities. I worked at university teaching hospital, Lusaka , wherein these meetings were held monthly on regular basis. Although there were hot discussions but it was a good learning for all of us. It also inculcated the practice of documentation. The observations/ conclusions should be used to inform and educate and not to victimize.regards,MiraDr. Mira Desai M. D Professor of PharmacologyB J Medical CollegeAhmedabad 380016Cell Phone No : 91 9825057107Residence: 91 079 26856161

From: Geer M. Ishaq <ishaqgeer (DOT) co.in>Subject: your participation solicitednetrumgroups (DOT) comDate: Tuesday, 17 November, 2009, 10:43 PM

Dear Mira Ma'm:

It has been quite long since I saw u post over netrum. We are badly missing your expert comments. Kindly do participate in the ongoing discussion and post your experiences on the current topic. Your expertise is deeply solicited.

With Regards

Dr. Geer M. Ishaq

Sr. Assistant Professor

Dept. of Pharmaceutical Sciences

University of Kashmir

Srinagar-190006 (J & K)

Ph: 9906673100, 01942429503

Website: http://ishaqgeer. googlepages. com

Connect more, do more and share more with India Mail. Learn more.

The INTERNET now has a personality. YOURS! See your Homepage.

Try the new India Homepage. Click here.

The INTERNET now has a personality. YOURS! See your Homepage.

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