describing a suspected adverse drug reaction related to the administration of one or more medicinal products to an individual patient ADR reporters • ADRs are usually reported voluntarily – In some countries it is mandatory for healthcare professions to report • Reporters include: – Clinicians – Nurses – Pharmacists – Other health professionals – Researchers and managers of public health programmes – Patients (in some countries) Why do we need to report? • To detect adverse drug reactions not detected in clinical trials • Rare • Long-term • Occur in high risk groups • To detect programmatic errors- medical incident that was caused by some errors in transportation, storage, handling of medicines. • Medicines are not administered correctly • Medicines are of poor quality