某三级甲等医院医务人员药品不良反应上报情况及漏报原因调查分析  

Investigation and Analysis of ADR Reported and Causes of Missing Reports by Medical Staff in A Third Grade Class A Hospital

作　　者：周鹏[1] 祝红英 崔岚[1] 

机构地区：[1]昆明医科大学第二附属医院,昆明650101 [2]昆明医科大学药学院,昆明650500

出　　处：《中国药房》2017年第36期5056-5059,共4页China Pharmacy

摘　　要：目的:为完善医院的药品不良反应(ADR)上报工作提供参考。方法:采用问卷调查方式,就某三级甲等医院所有科室医务人员对ADR的上报情况及漏报原因等进行调查,并就相关数据进行统计和分析。结果:共发放问卷967份,回收问卷900份,回收率为93.07%;其中有效问卷875份,回收问卷有效率为97.22%。受访者中能够正确回答产生ADR的主要原因("是药三分毒"和个体差异)的分别只占42.51%和49.26%;1年中未接受过任何ADR培训的占35.89%,不了解ADR上报制度及途径的占33.83%,表示会主动并详细填写ADR报表的仅占30.06%,对上报ADR存在的困难认为无专职人员是最主要的(占61.49%);表示上报过ADR的只占41.60%。对导致医务人员漏报ADR的原因选择比例从高到低分别为:对ADR不确定,医院又无可供查阅的相关信息(占45.94%);ADR报表填写烦琐(占34.97%);无院内ADR监测部门电话(占33.60%);不知道上报程序(占33.49%),等等。结论:该院医务人员的ADR上报情况尚不理想,大部分人都有不同程度的ADR漏报现象,而医院对ADR监测工作的管理和宣传、培训不到位是漏报的主要原因。OBJECTIVE： To provide reference for improving the reporting of adverse drug reactions （ADRs） in the hospital. METHODS： A questionnaire survey was conducted to investigate the reporting of ADRs and causes of missing reports by medical staff in all departments of a third grade class A hospital. The related data were statistically analyzed. RESULTS： A total of 967 ques- tionnaires were distributed, and 900 questionnaires were collected, with a recovery rate of 93.07%. Among them, 875 were valid questionnaires, and the effective rate was 97.22%. Among the medical staff, who can correctly answer the main causes of ADRs （drugs were toxic, individual difference）, accounted for 42.51% and 49.26% ; 35.89% of staff did not receive any ADRs training in one year; 33.83% did not know the ADRs reporting system and ways; 30.06% would fill in the ADRs statement voluntarily; 61.49% considered that the absence of full-time personnel was the main difficulty in reporting ADRs; 41.60% indicated that they had previously reported ADRs. The causes of missing ADR reports by medical staff were ranked as high to low： uncertainty about ADRs, and there was no relevant information in the hospital （accounting for 45.94%）; the filling process of ADR reports was com- plicated （accounting for 34.97% ） ; do not have the phone number of ADR supervision department in hospital （accounting for 33.60%）; do not know the reporting process （accounting for 33.49% ）, and so on. CONCLUSIONS：The situation of ADR report- ing by medical staff in the hospital is not satisfactory, most of them have varying degrees of missing ADRs. The inadequate man- agement and publicity of ADR monitoring, poorly trained by the hospital is an important reason for missing reporting.

关 键 词：药品不良反应 医务人员 上报情况 漏报原因 调查 

分 类 号：R95[医药卫生—药学] R195