Criteria-based adverse drug reaction reporting and the use of a relational database.

R C Hatton
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Abstract

The criteria-based ADR reporting program at Shands Hospital has been successful. When the Joint Commission reviewed this program in January 1991, they were satisfied that it met their standards. Efforts are now focusing on improving the capture of ADRs, which will make the information available from the database even more valuable. Data from Shands Hospital will contribute to postmarketing surveillance, patient care, and staff education, and these data will influence drug usage evaluations and the formulary. Observations will be used to recommend alternate therapies to prevent ADRs as well as methods to manage reactions should they occur. The listing of criteria has facilitated the reporting of ADRs at Shands Hospital, and communication of the information has been greatly enhanced by the ADR database. Efficiency has been improved as a result.

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基于标准的药物不良反应报告及关系型数据库的使用。
尚兹医院以标准为基础的不良反应报告项目取得了成功。当联合委员会在1991年1月审查这个方案时,他们感到满意,认为它符合他们的标准。目前的工作重点是改进adr的捕获,这将使数据库提供的信息更有价值。尚兹医院的数据将有助于上市后监测、患者护理和员工教育,这些数据将影响药物使用评估和处方。观察结果将用于推荐预防不良反应的替代疗法以及发生不良反应时的管理方法。标准的列出促进了尚兹医院对不良反应的报告,而且不良反应数据库大大加强了信息的交流。因此,效率得到了提高。
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Opportunities for pharmaceutical care with critical pathways. The transition to medication system performance indicators. Development of a continuous quality improvement/total quality management program for medication use monitoring. Communication strategies to improve drug use evaluation. Use of critical pathways and indicators in pharmacy practice.
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