Patterns in case completeness, timeliness, follow-up, database entry, causality assessment, and escalation across reporter, facility, medicine, patient-group, and serious-case workflows.
The workflow is failing upstream: completeness remains low, only a minority of reports are on time, follow-up is rare, and formal causality assessment is missing in most cases. The pattern is broad enough that the bottleneck looks structural rather than tied to a single reporter or medicine line.
Impact index is a volume-weighted composite of underperformance versus overall on completeness, on-time reporting, follow-up, causality assessment, and VigiBase entry. Higher values mean larger operational drag, not higher clinical risk.
| Rank | Factor | Segment | N | Completeness | On-time | Follow-up | Assessed | VigiBase | Serious | Action | Impact index |
|---|
| Factor | State | Serious N | Avg completeness | Signal rate | Action rate |
|---|
| Causality class | Serious N | Completeness | On-time | Follow-up | Signal rate | Action rate |
|---|