A major rethink is needed

摘要

We agree that spontaneous reporting systems are important but would like to emphasise that most suspected adverse drug reactions are not reported at all, and many reports have limited information.New guidelines are useful, but major problems everywhere, notonlyin the UK, are thatthe complex data analysis needed on safety is not open to public review and neither is the feedbackto reporters and the public sufficiently encouragingto stimulate reporting. There is need for: