某院303例药品不良事件报告的分析  

Analysis of 303 Cases of Adverse Drug Event Reported in a Hospital

作　　者：邸信 刘岳松 刘启望[3] DI Xin;LIU Yuesong;LIU Qiwang(Department of Medical Affairs,West China Hospital,Sichuan University,Chengdu Sichuan 610041,China;School of Law,Southwest Medical University,Luzhou Sichuan 646000,China;Institute of Hospital Management,West China Hospital,Sichuan University,Chengdu Sichuan 610041,China)

机构地区：[1]四川大学华西医院医务部,四川成都610041 [2]西南医科大学法学院,四川泸州646000 [3]四川大学华西医院医院管理研究所,四川成都610041

出　　处：《中国卫生标准管理》2024年第11期99-103,共5页China Health Standard Management

基　　金：四川医事卫生法治研究中心青年项目(YF23-Q16)。

摘　　要：目的通过分析某院303例药品不良事件,查找药品不良事件的常见原因,提出针对性的改善意见。方法对某三级医院2023年1—12月报告的303例药品不良事件进行回顾性分析,运用Excel软件统计患者基本情况、就诊类型、事件类型、事件分级、药品类型及报告科室情况,分析其原因及特点。结果女性患者略多于男性;50岁以上患者占比最多(62.38%);住院患者占比最多(92.41%);类型方面,药物不良反应是占比最多的三级指标类型(95.71%);不良事件等级数量依次为Ⅰ级(n=0)、Ⅱ级(n=29)、Ⅲ级(n=259)、Ⅳ级(n=3)、一般隐患事件(n=12);内科科室占比最多(80.86%),头颈肿瘤病房、感染性疾病中心、腹部肿瘤病房是报告数量最多的前3位科室。结论结合数据分析结果,提出加强医务人员的安全用药意识、完善特殊用药流程、优化信息系统、加强药品不良事件管理的对策建议。Objective To analyze 303 cases of adverse drug events in a certain hospital,identify common causes of adverse drug events,and propose targeted improvement suggestions.Methods A retrospective analysis was conducted on 303 adverse drug events reported by a tertiary hospital in January to December 2023.Excel software was used to statistically analyze the patient's basic situation,visit type,event type,event grading,drug type,and reporting department situation,and to analyze their causes and characteristics.Results There were slightly more female patients than males.The proportion of patients over 50 years old is the highest(62.38%).The proportion of hospitalized patients was the highest(92.41%).In terms of type,adverse drug reactions were the third level indicator type with the highest proportion(95.71%).The number of adverse events was ranked as levelⅠ(n=0),levelⅡ(n=29),levelⅢ(n=259),levelⅣ(n=3),and general hazard events(n=12).Internal medicine department accounted for the largest proportion(80.86%).Head and neck tumor ward,infectious diseases center and abdominal tumor ward were the top three departments with the largest number of reports.Conclusion Based on the results of data analysis,countermeasures and suggestions are proposed to strengthen the awareness of safe medication among medical personnel,improve special medication processes,optimize information systems,and strengthen the management of adverse drug events.

关 键 词：药品 不良事件 报告 对策 药物不良反应 医疗安全管理 

分 类 号：R969[医药卫生—药理学]