某院药品不良反应上报工作改进实践

Improvement on Reporting of Adverse Drug Reactions in a Hospital

目的为建立医院药品不良反应(ADR)上报管理模式提供参考。方法收集四川省邛崃市医疗中心医院2016年ADR上报情况,利用质量管理工具进行第1轮上报工作改进(2017年1月至2019年12月);运用触发管理工具进行第2轮上报工作改进(2020年1月至2022年12月)。分析改进后的效果。结果2016年,该院ADR上报125例,2017年至2019年分别升至163例、236例、149例。2016年上报新的+严重ADR比例和严重ADR比例分别为31.20%和8.80%,2022年分别大幅升至74.65%和57.94%。结论运用质量管理工具及触发管理工具,能促进医院ADR上报数量增加及质量的提升。

Objective To provide a referencce for establishing a management mode for the reporting of adverse drug reactions(ADRs)in hospitals.Methods The data of ADR reporting of the Medical Center Hospital of Qionglai in 2016 were collected,the first and second rounds of reporting(January 2017 to December 2019,January 2020 to December 2022)were improved by the quality management tool and trigger management tool respectively.The effects after improvement were analyzed.Results A total of 125 cases of ADRs were reported in the hospital in 2016,which increased to 163,236,149 cases from 2017 to 2019 respectively.The proportions of new+serious ADRs and serious ADRs reported in 2016 were 31.20%and 8.80%respectively,which significantly increased to 74.65%and 57.94%in 2022 respectively.Conclusion The use of quality management tool and trigger management tool can promote the quantity and quality of ADR reporting in hospitals.