临床药师开展药品不良反应监管工作模式探讨

发布时间：2018-11-27 07:37

【摘要】：目的:探索临床药师监管药品不良反应(ADR)的工作模式,促进ADR上报质量。方法:调查我院住院病区2012年ADR漏报情况、报表质量以及患者ADR教育、追踪随访情况,并用柏拉图分析法找寻主要问题原因,采用鱼骨图对策分析法,拟定临床药师监管措施,对比分析2013年临床药师监管后ADR漏报情况、报表质量以及患者ADR教育、追踪随访情况变化。结果:2012年ADR上报存在普遍漏报现象,漏报率为97.71%;180份报表中,91.11%存在严重质量问题;仅对1.52%发生ADR患者进行了追踪随访。2013年临床药师启动监管ADR工作后,漏报情况、报表质量,患者教育、追踪随访情况明显改善(P0.05)。结论:临床药师应全面监管ADR工作,采用调查发现、上报督导、教育培训、分析总结以及追踪随访五位一体的ADR监管工作模式,以有效促进临床合理用药。
[Abstract]:Objective: to explore the working mode of monitoring adverse drug reaction (ADR) by clinical pharmacists and to promote the quality of ADR reporting. Methods: to investigate the ADR underreporting, report quality and ADR education of patients in our hospital in 2012, follow up the situation, and use Plato analysis to find out the main reasons of the problems, and to draw up the supervision measures of clinical pharmacists by using fishbone chart countermeasure analysis method. ADR underreporting, report quality and ADR education were compared and analyzed after clinical pharmacist supervision in 2013, and follow-up changes were followed up. Results: in 2012, there was a general phenomenon of underreporting in ADR reports, and 91.11% of them had serious quality problems. Only 1.52% of the patients with ADR were followed up. After the clinical pharmacists started supervising ADR in 2013, they missed the report, the quality of the report, the education of the patients, and the follow-up (P0.05). Conclusion: clinical pharmacists should supervise the work of ADR, adopt investigation findings, report supervision, education and training, analyze, summarize and follow up the five-in-one mode of supervision of ADR, in order to effectively promote the rational use of drugs in clinic.
【作者单位】：重庆市红十字会医院(江北区人民医院);重庆市医药学校;
【基金】：重庆市医学科研计划项目(No.2013-2-195)
【分类号】：R95

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