頁籤選單縮合
題名 | 某區域醫院提升住院病患藥物不良反應通報之改善作法=Improving the Reporting of Adverse Drug Reactions at Inpatient Setting in a Regional Teaching Hospital |
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作者 | 葉晶晶; 吳律萱; 陳怡秀; 施美旭; | 書刊名 | 藥學雜誌 |
卷期 | 25:4=101 2009.12[民98.12] |
頁次 | 頁30-35 |
分類號 | 418.1 |
關鍵詞 | 藥物不良反應; 藥物過敏; 住院病患; 指標藥物; Adverse drug reactions; Drug allergy; Inpatients; Target drugs; |
語文 | 中文(Chinese) |
中文摘要 | 某區域醫院以指標藥物探查住院藥物不良反應,結果發現醫護人員主動通報率極低,且藥物過敏事件發生後,經常未將過敏藥物記錄於電子病歷之過敏史欄位。為改善住院藥物不良反應之通報機制及後續處理,執行以下措施:一、藥師主動監測住院藥物不良反應。二、改善通報介面、加強宣導,以提升醫護人員的通報率。三、藥師主動提醒醫師記錄過敏史。進行改善措施後住院藥物不良反應通報比率有顯著增加 (96年7.4%,97年第四季時 43.9%)。 |
英文摘要 | Target drugs were used to detect the occurrence of adverse drug reactions (ADRs) at inpatient setting in a regional teaching hospital. It was discovered that the rate of reporting ADRs by healthcare professionals was extremely low. Some ADRs were related to drug allergy, but documenting of drug allergy in electronic medical records after the incidence was often overlooked. In order to improve the procedures of reporting ADRs and their follow ups, few steps were to be carried out: 1. Target drugs were periodically screened by pharmacists at inpatient settings. 2. To enforce healthcare professional's recognition of ADRs, and hence the rate of reporting, an ADR electronic reporting system was integrated into the hospital information system as well as educational meetings were organized. 3. Pharmacists were encouraged to actively remind physicians to document any drug allergy into the hospital information system. The rate of reporting ADRs at inpatient setting increased significantly after the proactive program was implemented (7.4% to 43.9%). |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。