The Studi Transformasi Deteksi Sinyal Farmakovigilans: Dari Spontaneous Reporting System (SRS) Menuju Integrasi Artificial Intelligence (AI)
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Abstract
Adverse Drug Reactions (ADR) menjadi ancaman serius terhadap keselamatan pasien dan beban finansial sistem kesehatan global. Sistem pelaporan spontan (Spontaneous Reporting System/SRS) merupakan pendekatan tradisional utama dalam deteksi sinyal farmakovigilans, namun dibatasi oleh underreporting, keterlambatan pelaporan, dan bias pelapor. Artikel ini bertujuan untuk membandingkan pendekatan SRS dengan pendekatan berbasis Artificial Intelligence (AI) dalam mendeteksi sinyal keamanan obat. Metode yang digunakan adalah kajian naratif literatur, dengan penelusuran literatur dari database yang sesuai kriteria inklusi yaitu artikel original dan terbit pada tahun 2015-2025. Data yang diperoleh dianalisis dan disajikan secara deskriptif. Hasil studi menunjukkan bahwa pelaporan ADR masih rendah akibat hambatan sistemik, namun dapat ditingkatkan melalui pelatihan dan intervensi multifaset. Integrasi AI, seperti model LGBM, dLBM, dan aTarantula, mampu mendeteksi ADR secara otomatis dengan akurasi tinggi, bahkan dari data tidak terstruktur. Kesimpulan artikel ini bahwa pendekatan integratif antara SRS dan AI merupakan strategi optimal untuk meningkatkan efektivitas deteksi sinyal farmakovigilans di masa depan, dengan menggabungkan kekuatan data real-world dari SRS dan kemampuan analitik canggih dari AI.
References
Aagaard, L., Strandell, J., Melskens, L., Petersen, P. S. G., & Holme Hansen, E. (2012). Global Patterns of Adverse Drug Reactions Over a Decade. Drug Safety, 35(12), 1171–1182. https://doi.org/10.2165/11631940-000000000-00000
Ampadu, H. H., Hoekman, J., de Bruin, M. L., Pal, S. N., Olsson, S., Sartori, D., Leufkens, H. G. M., & Dodoo, A. N. O. (2016). Adverse Drug Reaction Reporting in Africa and a Comparison of Individual Case Safety Report Characteristics Between Africa and the Rest of the World: Analyses of Spontaneous Reports in VigiBase®. Drug Safety, 39(4), 335–345. https://doi.org/10.1007/s40264-015-0387-4
Asiamah, M., Akuffo, K. O., Nortey, P., Donkor, N., & Danso-Appiah, A. (2022). Spontaneous reporting of adverse drug reaction among health professionals in Ghana. Archives of Public Health, 80(1), 33. https://doi.org/10.1186/s13690-021-00783-1
Bukic, J., Rusic, D., Mas, P., Karabatic, D., Bozic, J., Seselja Perisin, A., Leskur, D., Krnic, D., Tomic, S., & Modun, D. (2019). Analysis of spontaneous reporting of suspected adverse drug reactions for non-analgesic over-the-counter drugs from 2008 to 2017. BMC Pharmacology and Toxicology, 20(1), 60. https://doi.org/10.1186/s40360-019-0338-2
Crisafulli, S., Bate, A., Brown, J. S., Candore, G., Chandler, R. E., Hammad, T. A., Lane, S., Maro, J. C., Norén, G. N., Pariente, A., Russom, M., Salas, M., Segec, A., Shakir, S., Spini, A., Toh, S., Tuccori, M., van Puijenbroek, E., & Trifirò, G. (2025). Interplay of Spontaneous Reporting and Longitudinal Healthcare Databases for Signal Management: Position Statement from the Real-World Evidence and Big Data Special Interest Group of the International Society of Pharmacovigilance. Drug Safety. https://doi.org/10.1007/s40264-025-01548-3
De Angelis, A., Colaceci, S., Giusti, A., Vellone, E., & Alvaro, R. (2016). Factors that condition the spontaneous reporting of adverse drug reactions among nurses: an integrative review. Journal of Nursing Management, 24(2), 151–163. https://doi.org/10.1111/jonm.12310
Destere, A., Marchello, G., Merino, D., Othman, N. Ben, Gérard, A. O., Lavrut, T., Viard, D., Rocher, F., Corneli, M., Bouveyron, C., & Drici, M. (2024). An artificial intelligence algorithm for co‐clustering to help in pharmacovigilance before and during the COVID‐19 pandemic. British Journal of Clinical Pharmacology, 90(5), 1258–1267. https://doi.org/10.1111/bcp.16012
Fang, H., Lin, X., Zhang, J., Hong, Z., Sugiyama, K., Nozaki, T., Sameshima, T., Kobayashi, S., Namba, H., & Asakawa, T. (2017). Multifaceted interventions for improving spontaneous reporting of adverse drug reactions in a general hospital in China. BMC Pharmacology and Toxicology, 18(1), 49. https://doi.org/10.1186/s40360-017-0159-0
Gordo, C., Núñez‐Córdoba, J. M., & Mateo, R. (2021). Root causes of adverse drug events in hospitals and artificial intelligence capabilities for prevention. Journal of Advanced Nursing, 77(7), 3168–3175. https://doi.org/10.1111/jan.14779
Güner, M. D., & Ekmekci, P. E. (2019). Healthcare professionals’ pharmacovigilance knowledge and adverse drug reaction reporting behavior and factors determining the reporting rates. Journal of Drug Assessment, 8(1), 13–20. https://doi.org/10.1080/21556660.2019.1566137
Kim, S., Yu, Y. M., You, M., Jeong, K. H., & Lee, E. (2020). A cross-sectional survey of knowledge, attitude, and willingness to engage in spontaneous reporting of adverse drug reactions by Korean consumers. BMC Public Health, 20(1), 1527. https://doi.org/10.1186/s12889-020-09635-z
Létinier, L., Jouganous, J., Benkebil, M., Bel‐Létoile, A., Goehrs, C., Singier, A., Rouby, F., Lacroix, C., Miremont, G., Micallef, J., Salvo, F., & Pariente, A. (2021). Artificial Intelligence for Unstructured Healthcare Data: Application to Coding of Patient Reporting of Adverse Drug Reactions. Clinical Pharmacology & Therapeutics, 110(2), 392–400. https://doi.org/10.1002/cpt.2266
Ma, R., Wang, Q., Meng, D., Li, K., & Zhang, Y. (2021). Immune checkpoint inhibitors-related myocarditis in patients with cancer: an analysis of international spontaneous reporting systems. BMC Cancer, 21(1), 38. https://doi.org/10.1186/s12885-020-07741-0
Martin, G. L., Jouganous, J., Savidan, R., Bellec, A., Goehrs, C., Benkebil, M., Miremont, G., Micallef, J., Salvo, F., Pariente, A., & Létinier, L. (2022). Validation of Artificial Intelligence to Support the Automatic Coding of Patient Adverse Drug Reaction Reports, Using Nationwide Pharmacovigilance Data. Drug Safety, 45(5), 535–548. https://doi.org/10.1007/s40264-022-01153-8
Montastruc, J., Lafaurie, M., de Canecaude, C., Durrieu, G., Sommet, A., Montastruc, F., & Bagheri, H. (2021). Fatal adverse drug reactions: A worldwide perspective in the World Health Organization pharmacovigilance database. British Journal of Clinical Pharmacology, 87(11), 4334–4340. https://doi.org/10.1111/bcp.14851
Roosan, D., Law, A. V., Roosan, M. R., & Li, Y. (2022). Artificial Intelligent Context-Aware Machine-Learning Tool to Detect Adverse Drug Events from Social Media Platforms. Journal of Medical Toxicology, 18(4), 311–320. https://doi.org/10.1007/s13181-022-00906-2
van Eekeren, R., Rolfes, L., Koster, A. S., Magro, L., Parthasarathi, G., Al Ramimmy, H., Schutte, T., Tanaka, D., van Puijenbroek, E., & Härmark, L. (2018). What Future Healthcare Professionals Need to Know About Pharmacovigilance: Introduction of the WHO PV Core Curriculum for University Teaching with Focus on Clinical Aspects. Drug Safety, 41(11), 1003–1011. https://doi.org/10.1007/s40264-018-0681-z
Warner, J., Prada Jardim, A., & Albera, C. (2025). Artificial Intelligence: Applications in Pharmacovigilance Signal Management. Pharmaceutical Medicine, 39(3), 183–198. https://doi.org/10.1007/s40290-025-00561-2
WHO. (2002). The importance of pharmacovigilance: Safety monitoring of medicinal products. World Health Organization. Https://Iris.Who.Int/Handle/10665/42493.
Worakunphanich, W., Suwankesawong, W., Youngkong, S., Thavorncharoensap, M., Anderson, C., & Toh, L. S. (2023). Thai stakeholders’ awareness and perceptions of the patient adverse event reporting system for herbal medicines: a qualitative study. International Journal of Clinical Pharmacy, 45(2), 491–501. https://doi.org/10.1007/s11096-022-01533-1
Worakunphanich, W., Youngkong, S., Suwankesawong, W., Anderson, C., & Thavorncharoensap, M. (2022). Comparison of Patient Adverse Drug Reaction Reporting Systems in Nine Selected Countries. International Journal of Environmental Research and Public Health, 19(8), 4447. https://doi.org/10.3390/ijerph19084447
Yu, Y. M., & Lee, E. (2017). Enhanced knowledge of spontaneous reporting with structured educational programs in Korean community pharmacists: a cross-sectional study. BMC Medical Education, 17(1), 95. https://doi.org/10.1186/s12909-017-0933-0








