In the wake of publicity and congressional attention to drug safety issues, the Food and Drug Administration (FDA) requested the Institute of Medicine assess the drug safety system. The committee reported that a lack of clear regulatory authority, chronic underfunding, organizational problems, and a scarcity of post-approval data about drugs' risks and benefits have hampered the FDA's ability to evaluate and address the safety of prescription drugs after they have reached the market. Noting that resources and therefore efforts to monitor medications' riska "benefit profiles taper off after approval, The Future of Drug Safety offers a broad set of recommendations to ensure that consideration of safety extends from before product approval through the entire time the product is marketed and used.
Committee on the Assessment of the US Drug Safety System, Alina Baciu, Kathleen Stratton, Sheila P. Burke, Editors
1 Front Matter; 2 Summary; 3 1 Introduction; 4 2 Natural History of a Drug; 5 3 A Culture of Safety; 6 4 The Science of Safety; 7 5 Regulatory Authorities for Drug Safety; 8 6 Communicating About Safety; 9 7 Resources for the Drug Safety System; 10 Appendix A Moving Target--The Shifting Landscape of Drug Safety in the United States; 11 Appendix B Acronyms; 12 Appendix C PDUFA Performance Goals-All Years; 13 Appendix D Committee on the Assessment of the US Drug Safety System Meeting Agendas; 14 Appendix E Summary: Preventing Medication Errors: Quality Chasm Series, Institute of Medicine; 15 Appendix F Committee Biographies; 16 Index
National Research Council, Division of Behavioral and Social Sciences and Education, Institute of Medicine, and Families Board on Children, Youth, Steve Olson
Institute of Medicine, Board on the Health of Select Populations, and Transgender Health Issues and Research Gaps and Opportunities Committee on Lesbian, Gay, Bisexual
Institute of Medicine, Board on Population Health and Public Health Practice, Division of Health Promotion and Disease Prevention, Division of International Health
Institute of Medicine, Committee to Develop Methods Useful to the Department of Veteran Affairs in Estimating Its Physician Requirements, Joseph Lipscomb
Institute of Medicine, Board on Health Promotion and Disease Prevention, Committee on Smallpox Vaccination Program Implementation, Brian Strom, Kathleen Stratton, Andrea Pernack Anason, Alina Baciu
and Medicine National Academies of Sciences, Engineering, Health and Medicine Division, Board on Population Health and Public Health Practice, Committee on the Review of Federal Policies that Contribute to Racial and Ethnic Health Inequities, Amy B. Geller, Daniel E. Polsky, Sheila P. Burke
and Medicine National Academies of Sciences, Engineering, Health and Medicine Division, Board on Population Health and Public Health Practice, Committee on the Assessment of NIH Research on Women's Health, Amy Geller, Alina Salganicoff, Sheila P. Burke
and Medicine National Academies of Sciences, Engineering, Health and Medicine Division, Board on Population Health and Public Health Practice, Roundtable on Population Health Improvement, Alexandra Andrada, Alina Baciu
and Medicine National Academies of Sciences, Engineering, Transportation Research Board, Health and Medicine Division, Board on Population Health and Public Health Practice, Alina Baciu, Theresa Wizemann
Institute of Medicine, Board on Population Health and Public Health Practice, Roundtable on Population Health Improvement, Alina Baciu, Darla Thompson, Joe Alper
and Medicine National Academies of Sciences, Engineering, Health and Medicine Division, Board on Population Health and Public Health Practice, Roundtable on Population Health Improvement, Alina Baciu, Lauren Savaglio
Institute of Medicine, Board on Population Health and Public Health Practice, Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities, Roundtable on Population Health Improvement, Nirupa Goel, Alina Baciu, Alison Mack
and Medicine National Academies of Sciences, Engineering, Health and Medicine Division, Board on Population Health and Public Health Practice, Roundtable on Population Health Improvement, Alina Baciu