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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. Philosophy of Medicine, 5 (1). pp. 1-14. ISSN 2692-3963

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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 that 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: Published Article or Volume
Due, Austin0000-0002-6107-3970
Keywords: Pharmacovigilance Underreporting Epistemic risk Adverse drug reactions Side effects
Subjects: Specific Sciences > Medicine
Depositing User: Professor Alex Broadbent
Date Deposited: 16 May 2024 10:56
Last Modified: 16 May 2024 10:56
Item ID: 23429
Journal or Publication Title: Philosophy of Medicine
Publisher: University Library System, University of Pittsburgh
Official URL:
DOI or Unique Handle: 10.5195/pom.2024.181
Subjects: Specific Sciences > Medicine
Date: 9 May 2024
Page Range: pp. 1-14
Volume: 5
Number: 1
ISSN: 2692-3963

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