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我院医务人员药品不良反应认知情况调查
Investigation of the Awareness of ADR in Medical Staff in Our Hospital
  
DOI:
中文关键词:  药品不良反应  医务人员  认知度  问卷调查
英文关键词:Adverse drug reactions  Medical staff  Cognition degree  Questionnaire survey
基金项目:
作者单位
许倍铭 上海交通大学附属瑞金医院药剂科(上海 200025) 
陈禾凤 上海交通大学附属瑞金医院药剂科(上海 200025) 
徐蕾 上海交通大学附属瑞金医院药剂科(上海 200025) 
张立群 上海交通大学附属瑞金医院药剂科(上海 200025) 
倪琳杰 上海交通大学附属瑞金医院药剂科(上海 200025) 
陈冰 上海交通大学附属瑞金医院药剂科(上海 200025) 
杨婉花 上海交通大学附属瑞金医院药剂科(上海 200025) 
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中文摘要:
      摘 要 目的:了解我院医务人员对于药品不良反应(ADR)的认知水平、认知途径,为进一步开展ADR监测、上报工作做基础。方法:随机抽取我院383名医务工作者进行问卷调查,了解医务工作者基本背景、ADR认知情况、认知途径、上报情况等并作统计分析。结果:回收有效问卷370份,有效率为96.61%。55.88%医务人员对于ADR的概念有正确认识。近一半(47.0%)的医务人员会主动关注ADR,主要是通过电视或网络以及专业期刊。43%的被调研者在工作中遇到过ADR。40.5%的被调研者对于我院的ADR制度并不了解,未上报的原因主要集中在“不了解上报途径”与“并未造成严重后果”分别占35.2%和32.5%。对于我院的不良反应上报途径,被调研者了解最多的是HIS系统,约占60.2%。将近3/4的被调研者支持设置ADR上报的奖惩制度,以规范和促进ADR工作的进行。结论:需进一步加大ADR基本概念、上报途径的宣传,简化上报流程,增设一定的奖惩制度来增进ADR监测工作。
英文摘要:
      ABSTRACT Objective: In order to improve the ADR monitoring and reporting job, the cognitive level in medical staff for adverse drug reaction (ADR) was investigated. Methods:383 medical staff was chosen at random to participate in the questionnaire survey. The results were analyzed by excel 2007 and SPSS19.0. Many factors were taken into account to estimate the overall, including the background, cognition, cognitive approaches, etc. Results:370 valid questionnaires were collected and the effective rate was 96.61%.55.88% medical staff has a correct understanding on the concept of ADR. Nearly half (47.0%) of the medical staff will take the initiative to focus on ADR, mainly through television or the Internet and professional journals. 43% of the respondents met ADR at work. A lot of them did not know about the ADR monitoring rule in our hospital, which reached 40.5%. The reason of unreported mainly concentrated in “do not know the way to report” and “did not cause serious consequences”, which reached 35.2%and 32.5% respectively. Of all the report ways, the HIS system was known by the most researchers, accounting for 60.2%. Nearly 3/4 of the respondents supported to set up a reward and punishment system to regulate and promote the work of collecting ADRs. Conclusion:Further publicity on the concept and reporting ways of ADR is needed. The means of information to simplify the reporting progress and the addition of a reward and punishment system may be useful to enhance the monitoring work of ADR.
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