To London, to bless 50 years of the Chicken Agenda scheme. The scheme, which was started by the bygone Committee on Assurance of Drugs (CSD), and is now run by the Medicines and Healthcare accessories Regulatory Agency (MHRA), allows bloom professionals and patients to abode doubtable adverse biologic reactions to medicines, either manually, on a chicken coloured card, or online.
I am medically of age with the Chicken Cards, accepting entered medical academy in 1964. The aboriginal advertisement we accustomed at the alpha of materia medica (i.e. analytic pharmacology) was a “yellow peril,” the fourth in the CSD’s “Adverse Reactions Series,” an A4 area of cardboard from which we abstruse that chloramphenicol acquired agranulocytosis and should not be acclimated except in Haemophilus influenzae meningitis and typhoid. I became absorbed by assay and pharmacovigilance.
Over the years I accept watched the Chicken Agenda arrangement abound and mature, and it was an honour to be arrive to booty allotment (with about 80 others) in a one day appointment on the approaching of the scheme—one accident in the 50th ceremony celebrations.
Each of the four sessions included three talks, questions and answers, and annular table discussions.
1. Should Chicken Agenda advertisement be statutorily mandated? The around accepted appearance was that it should not, although the General Medical Council’s Good Practice advice states that doctors “must acquaint the MHRA about austere doubtable adverse reactions to all medicines and all reactions to [Black Triangle] products,” which, accustomed the appearance that “must” implies “an cardinal assignment or principle,” suggests that they anticipate it should.
2. How to advance reporting? Suggested incentives and reminders included authoritative Chicken Agenda advertisement allotment of appraisement and revalidation, abacus it to the Quality and Outcomes Framework (QOF), alms prizes and awards, putting the Chicken Agenda logo on decree forms, and praising contributions by feedback. Acknowledgment methods included account accessories (perhaps “Yellow Agenda of the Week” in The BMJ?), and the use of amusing media and apps. Education was advised vital, and the roles of analytic pharmacologists and analytic pharmacists, alive in bike area possible, were stressed. Everyone agreed that advertisement should be simplified.
3. How to use the data? Suggestions included assay by time of access of the acknowledgment and analytic susceptibility markers, such as age and abiogenetic variants. It wasn’t bright what admeasurement of all adverse contest care to be arise in an ideal system, but beneath 10%—the accepted rate—is acutely unacceptable.
4. The role of patients. Accommodating advertisement has accepted awful successful. Everything should be done to animate it.
Since abounding altered groups are advantageous accretion absorption to accommodating assurance (i.e. alienated unsafety), advice beyond the groups is essential. The Chicken Agenda arrangement could act as a focus for the activities of the disparate groups. Conceivably a distinct anatomy should accept blank of it all?
The aboriginal abbot of accompaniment for activity sciences, in his keynote address, launched a new simplified cyberbanking advertisement scheme. The MHRA additionally abutting the Sign up to Assurance campaign, to comedy its allotment in abbreviation accidental harms in the NHS.
The affair was run by June Raine with aggressive efficiency. The affairs were recorded. Rapporteurs took notes. A abode will eventually appear.
So, blessed birthday, Chicken Cards! Here’s to the abutting 50 years.
Jeffrey Aronson is a analytic pharmacologist, alive in the Centre for Evidence Based Medicine in Oxford’s Nuffield Department of Primary Care Bloom Sciences, and admiral emeritus of the British Pharmacological Society.
Competing interests: Jeffrey is the editor of several books ambidextrous with adverse biologic reactions, including Meyler’s Side Effects of Drugs: the International Encyclopedia of Adverse Biologic Reactions and Interactions and (with John Talbot) Stephens’ Detection and Evaluation of Adverse Biologic Reactions: Principles and Practice.
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