Abstract Managing adverse drug reactions (ADRs) is a challenge, especially because most healthcare professionals are insufficiently trained for this task. Since context-based clinical pharmacovigilance training has proven effective, we assessed the feasibility and effect of a creating a team of Junior-Adverse Drug Event Managers (J-ADEMs). The J-ADEM team consisted of medical students (1st–6th year) tasked with managing and reporting ADRs in hospitalized patients. Feasibility was evaluated using questionnaires. Student competence in reporting ADRs was evaluated using a case-control design and questionnaires before and after J-ADEM program participation. From Augustus 2018 to Augustus 2019, 41 students participated in a J-ADEM team and screened 136 patients and submitted 65 ADRs reports to the Netherlands Pharmacovigilance Center Lareb. Almost all patients (n = 61) found it important that “their” ADR was reported, and all (n = 62) patients felt they were taken seriously by the J-ADEM team. Although attending physicians agreed that the ADRs should have been reported, they did not do so themselves mainly because of a “lack of knowledge and attitudes” (50%) and “excuses made by healthcare professionals” (49%). J-ADEM team students were significantly more competent than control students in managing ADRs and correctly applying all steps for diagnosing ADRs (control group 38.5% vs. intervention group 83.3%, p < 0.001). The J-ADEM team is a feasible approach for detecting and managing ADRs in hospital. Patients were satisfied with the care provided, physicians were supported in their ADR reporting obligations, and students acquired relevant basic and clinical pharmacovigilance skills and knowledge, making it a win-win-win intervention.
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The use of events as policy tools in cities has become widely recognized. However, most studies concerning this topic do not capture the complex interrelationships that underpin the development of an eventful city. This study applies a practice approach, in order to analyze the dynamics of the eventful city practice. It places the urban event practice centrally in the analysis and focuses on the actual "sayings and doings" of the practice. The event practice of the 2015 Incubate festival in Tilburg, the Netherlands, is analyzed by means of ethnographic methods, including participant observation and interviews. Incubate illustrates how both the city and the event are performed within the practice: the event shapes the city and the city shapes the event. However, the integration of the festival into alternative spaces in the city means that it does not increase the visibility of Tilburg, and therefore fails to deliver value to its eventful city policy.
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