某医学院附属医院医师药物不良反应报告现状分析

Maliha Ata, R. Hoque, A. Mostafa, Md Rakibul I Shakil, Rajat Sanker Roy Biswas, S. Akhter, Shamsunnahar B Mannan
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引用次数: 1

摘要

背景:为提高医师自发性药物不良反应(ADR)报告工作水平,有必要对医师报告ADR的现状进行调查。本研究旨在观察某三级专科医院医师不良反应报告模式。材料与方法:本研究为描述性横断面研究,于2020年3月至2020年10月在某三级医学院附属医院开展。采用方便抽样的方法,采用自行设计的预测问卷对不同科室的100名医生进行数据收集。结果:100名被调查者中有70人回复了问卷,回复率为70%。大多数受访者(61.43%)对药品不良反应报告有足够的了解。大部分受访者(84.3%)在过去1年内发生过不良反应,但大部分受访者表示积极态度,但没有报告不良反应的做法。ADR以抗生素(81.35%)、非甾体抗炎药(33.89%)和抗惊厥药(15.25%)最多,皮肤(44.06%)、GIT(30.50%)和呼吸系统(23.03%)最多。漏报的原因主要是ADR表格难以获取、工作繁忙、不知道如何上报、上报对象和缺乏上报动机。如果提供简单可用的报告表格、定期指南和公告,将鼓励受访者报告不良反应。结论:迫切需要对我国药品不良反应在线报告系统进行教育培训和研讨会,以强调药品不良反应报告的重要性。上海医科大学医学院;期(2);2021年7月;页8日至13日
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Current Status of Adverse Drug Reaction Reporting by the Physicians in A Medical College Hospital
Background: In order to improve the spontaneous Adverse Drug Reaction (ADR) reporting practice by the physicians, there is an obligatory need to investigate the current situation of ADR reporting by them. The study was conducted to observe the ADR reporting pattern among physicians in a tertiary medical college hospital. Materials and methods: This was a descriptive cross sectional study carried out in a tertiary medical college hospital during the study period of March 2020 to October 2020. Data were collected from 100 physicians working on different departments using self designed pretested questionnaire by convenient sampling technique. Results: Among the 100 respondents 70 provided response to questionnaire giving a response rate 70%. Most of the respondents (61.43%) had adequate knowledge on ADR reporting. A good number of respondents showed positive attitude but there is no practice of ADR reporting though most of the respondents (84.3%) had experienced it in last 1 year. Most of the respondents experienced ADR with antibiotic (81.35%), NSAIDs (33.89%) & anticonvulsants (15.25%) and maximum (44.06%) experienced ADR was with skin, 30.50% with GIT and 23.03% with respiratory system involvement. The cause of under reporting was mainly due to inaccessible ADR form, busy schedule, unaware of how and whom to report and lack of motivation to report. The respondents would be encouraged to report ADR if they were provided with simple & available reporting form, regular guideline & bulletin. Conclusion: There is an urgent need for educational training & seminar regarding our national online reporting system to emphasizing ADR reporting. Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 8-13
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