頁籤選單縮合
題名 | 改善某醫院藥物不良反應通報率=Improving Adverse Drug Reaction Reporting Rate in a Regional Teaching Hospital |
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作者 | 陳怡秀; 林冠伶; 彭姿蓉; 吳大圩; 張恒嘉; Chen, Yi-hsiu; Lin, Guan-ling; Peng, Tzu-rong; Wu, Ta-wei; Chang, Heng-chia; |
期刊 | 藥學雜誌 |
出版日期 | 20130600 |
卷期 | 29:2=115 2013.06[民102.06] |
頁次 | 頁127-132 |
分類號 | 418.11 |
語文 | chi |
關鍵詞 | 藥物不良通報; 戴明循環; Adverse drug reaction reporting; Deming cycle; |
中文摘要 | 某區域教學醫院藥物不良反應小組統計2009年 ADR 總通報案件數,其中醫護人員通報及使用線上通報比率偏低。ADR 小組為增進病人用藥安全持續使用戴明循環提升 ADR 通報量,討論並通報全院 ADR 案件至全國藥物不良反應通報中心,同時建立病人電腦化 ADR 警示系統,避免 ADR 再次發生。分析原因,改善方案為1. 定期對醫護同仁舉辦 ADR 教育訓練。2. 藥師與醫師在 ADR 小組中跨團隊合作。3. 發放獎勵金鼓勵通報。4. 建立 ADR 通報案件管理資料庫,提升 ADR 案件後端管理效率且利用院內信件回饋通報者案件處理結果。醫護人員的藥物不良反應通報量在經過對策實施後增加許多,因此 ADR 小組決定將改善措施標準化,並持續分析院內藥物不良反應通報之情形及趨勢,並且使用戴明循環的方法提升院內藥物不良反應通報率,確保病人用藥安全。 |
英文摘要 | In 2009, the number of adverse drug reaction (ADR) reporting events was 287, which included 9.4% and 6.3% reported by physicians and nurses in a regional teaching hospital. For the medication safety, we used Deming cycle to increase the rate of ADR reporting, reported the ADR events to the National Reporting System of Adverse Drug Reactions in Taiwan and documented the ADR in electronic medical records to prevent ADR recurrence. After the causes of low rate of ADR reported by physicians and nurses were analyzed, several action plans were implemented, which included organizing periodical educational meetings for physicians and nurses, inviting the physicians to participate the ADR meetings, offering the bounty of ADR reporting and establishing the ADR reporting management system. The implementation of those steps, the number of ADR reporting events increased from 287 in 2009 to 408 in 2011. The rate of ADR reported by physicians increased from 9.4% in 2009 to 52.0% in 2011 and the rate of ADR reported by nurses also increased from 6.3% to 27.0% in 2011. The rate of reporting ADR increased significantly after the action plans were implemented. Therefore we standardized the protocol, keep analyzing the trends of ADR reporting and used Deming cycle to improve the rate of ADR reporting. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。