二级及以下医疗机构开展药品不良反应监测工作的探讨

Monitoring of Adverse Drug Reactions in Secondary or Inferior to Secondary Medical Institutions

目的:为二级及以下医疗机构做好药品不良反应(ADR)监测工作提供借鉴。方法:分析二级及以下医疗机构ADR监测工作存在的主要问题,以我院为二级医疗机构模型,探讨二级及以下医疗机构如何加强ADR监测工作。结果与结论:二级及以下医疗机构ADR监测工作存在总体技术水平落后、缺乏先进信息网络、医院领导重视不够、医护人员意识不强、药学部门不能充分发挥作用等一些问题,对此应当引起重视,可通过扩大宣传、提高认识、完善组织结构和相关工作制度、发挥临床药师和护理人员的作用、建立奖惩机制等措施促进此项工作开展。

OBJECTIVE： To provide reference for the practice of monitoring on adverse drug reactions （ADRs） in secondary or inferior to secondary medical institutions. METHODS： The problems in the practice of ADR monitoring in secondary or inferior to secondary medical institutions were analyzed and the approaches to strengthen the ADR monitoring was discussed taking our hospital as an example. RESULTS ＆ CONCLUSIONS： The problems in the practice of ADR monitoring in secondary or inferior to secondary medical institutions manifested as low general technical level, lacking of advanced information network, hospital leaders＇ negligence, medical staff＇s poor consciousness, pharmacy departments＇ failure in bringing their role into full play, etc. Therefore, it is urgent to attach great importance to the problems to facilitate the development of ADR monitoring by enlarging publicizing, raising awareness; improving the organizational structure and the related working rules, bringing clinical pharmacists and nursing staff＇s roles into full play and establishing the reward and punishment mechanism, etc.