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Sins and Risks in Underreporting Suspected Adverse Drug Reactions

Due, Austin (2024) Sins and Risks in Underreporting Suspected Adverse Drug Reactions. [Preprint]

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Abstract

The underreporting of suspected adverse drug reactions remains a primary issue for contemporary post-market drug surveillance or ‘pharmacovigilance.’ Pharmacovigilance pioneer W.H.W. Inman argued that ‘deadly sins’ committed by clinicians are to blame for underreporting. Of these ‘sins,’ ignorance and lethargy are the most obvious and impactful in causing underreporting. However, recent analyses show that diffidence, insecurity, and indifference additionally play a major role. I aim to augment our understanding of diffidence, insecurity, and indifference by arguing these sins are underwritten by value judgments arising via epistemic risk. I contend that ‘evidence-based’ medicine codifies these sins.


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Item Type: Preprint
Creators:
CreatorsEmailORCID
Due, Austin0000-0002-6107-3970
Keywords: pharmacovigilance; underreporting; adverse drug reactions; epistemic risk; side effects
Subjects: Specific Sciences > Medicine
General Issues > Social Epistemology of Science
General Issues > Values In Science
Depositing User: A Due
Date Deposited: 05 May 2024 08:35
Last Modified: 05 May 2024 08:35
Item ID: 23358
Subjects: Specific Sciences > Medicine
General Issues > Social Epistemology of Science
General Issues > Values In Science
Date: 2024
URI: https://philsci-archive.pitt.edu/id/eprint/23358

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