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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。
OBJECTIVE: To understand the cognitive level and cognitive pathways of medical staff in our hospital for drug adverse reactions (ADRs), and to lay the foundation for further monitoring and reporting of ADR. Methods: A total of 383 medical workers in our hospital were randomly selected to conduct a questionnaire survey to understand the basic background of medical workers, the cognitive status of ADR, cognitive pathways, escalation and other statistical data. Results: 370 valid questionnaires were collected and the effective rate was 96.61%. 55.88% Medical Staff Have a Correct Understanding of 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 encountered ADR in their work. 40.5% of the respondents did not understand the ADR system in our hospital. The reasons for not reporting were mainly “35.2%” and “32.5%”, respectively, because “not knowing how to report the case” and “not causing serious consequences”. Adverse reactions to our hospital reported ways, the most studied is the HIS system, accounting for about 60.2%. Nearly three-quarters of respondents supported the setting of rewards and punishment systems for reporting ADRs in order to standardize and facilitate the work of ADR. Conclusion: It is necessary to further increase the basic concepts of ADR, publicize the reporting channels, simplify the reporting process, and add a rewards and punishment system to enhance the monitoring of ADR.