醫院藥物不良事件監測流程與分析評價

Adverse drug events monitoring and assessment in Kiang Wu hospital

目的尋找一種快捷有效的方法偵測住院病人用藥不良事件個案,及時通知醫生,從而避免藥物不良事件的發生,提高用藥安全性。方法參照美國INI通過觸發器監測藥物不良事件發生的方法,設定具本院特色的ADE監測系統,通過電腦系統自動檢測住院病人用藥狀況,篩選出可疑個案,由藥師判斷後向醫生發出提示報告,再由醫生處理跟進。結果2007年~2009年上半年本院被定為藥物不良事件的有33宗,其中涉及Warfarin過量佔第一位;涉及Vancomycin過量佔第二位。結論本院最常見的藥物不良事件是Warfarin過量。

Objective To find out a rapid and effective method to detect inpatient adverse drug events.Timely to advice doctor to reduce the adverse event that do cause harm to patients,in order to improve the safety of care processes.Methods To refer to INI Global Trigger Tool for Measuring Adverse Events,creating the Kiang Wu hospital ADE Surveillance.Results From 2007 to 2009,there are 33 cases indentified as ADE.Conclusion The most common cases of ADE in Kiang Wu hospital were Warfarin overdose.