PDCA循环在妇保院药品不良反应上报中的应用分析  

Application of PDCA cycle in monitoring and management of adverse drug reactions in maternity and child health care hospital

作　　者：孟凡成[1] 宋和娣[1] 

机构地区：[1]江苏省连云港市妇幼保健院药学科,222006

出　　处：《淮海医药》2016年第2期162-163,共2页Journal of Huaihai Medicine

摘　　要：目的:探索PDCA循环在妇保院药品不良反应(ADR)上报工作中的应用,提高ADR的上报质量。方法:应用PDCA循环进一步完善ADR监测的管理制度,将ADR监测上报工作纳入临床药师考核体系,通过各种信息平台传递ADR信息,并加强对医务人员ADR监测和上报的培训工作,根据妇保院专科特色,加强对重点药品品种的ADR监测,如抗菌药物和妇产科用药。结果:2014年上半年(干预前)和2014年下半年(干预后)ADR上报数量从46例增至170例,新增ADR例数从11例增至45例,同时也提高了病区ADR上报率(36.9%增至57.2%);2014年下半年妇产科用药产生ADR比例与2014年上半年相比有所上升(23.91%vs 36.47%),2014年下半年抗菌药物产生ADR比例与2014年上半年相比有所下降(36.96%vs 30.58%);2014年ADR类型以胃肠系统为主。结论:运用PDCA循环应用于药品ADR上报工作管理,促进了ADR监测工作的发展,加强了医务人员对ADR的监测和上报意识,同时提高了临床药师的工作能力。Objective： To explore the application of PDCA cycle in adverse drug reaction（ ADR） monitoring,and to improve the reporting quality of ADR. Methods： PDCA cycle was applied to improve the ADR monitoring management system. The ADR monitoring was involved in the appraisal system of clinical pharmacists and the networking platform of ADR reporting was established. The training of physicians and nurses was strengthened to improve ADR monitoring knowledge,at the same time ADR monitoring of important drugs like antimicrobial drugs and obstetrics and gynecology medicine was also reinforced. Results： Before and after the intervention in 2014,ADR reports increased from 46 cases to 170 cases,especially the new ADR,from 11 cases to 45 cases. At the same time the proportion of inpatients ＇ ADR reports rose significantly from 36. 9% to 57. 2% and the proportion of ADR drugs like antibiotics decreased（ 36. 96% vs 30. 58%） and obstetrics and gynecology medicine grew（ 23. 91% vs 36. 47%）. The common types of ADR were mainly of gastrointestinal system and its appendages. Conclusion： PDCA cycle management of ADR monitoring can promote the management level,strengthen the awareness of ADR monitoring and reporting,and improve the ability of clinical pharmacists.

关 键 词：PDCA循环 药品不良反应 监测管理 临床药师 

分 类 号：R969.3[医药卫生—药理学]