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目的呼吁专科医院医务工作者高度重视药品不良反应监测工作。方法结合精神专科医院实际,从几个方面分析药品不良反应监测工作中存在的问题。结果受专科限制,用药单一,新型精神药品不良反应监测报告较传统药物少;由于患者的特殊性,对药品所引起的不适缺乏表达;人员缺乏,没有专业人员从事临床工作,不能在第一时间获得不良反应的信息;护士缺乏对药品不良反应监测工作的重视;由于未引进必要的竞争机制和激励机制,医务人员对药品不良反应监测工作积极性不高,责任心不强;对药品不良反应监测存在认识误区,害怕引起医患纠纷。结论提高药品不良反应报告质量和数量十分必要,专科医院的医生、护士、药剂人员及领导要高度重视药品不良反应监测。
Objective To urge medical professionals in special hospitals to attach great importance to the monitoring of adverse drug reactions. Methods According to the actual situation of psychiatric hospital, the problems existing in the monitoring of adverse drug reactions were analyzed from several aspects. Results were limited by the specialist, a single drug, new psychotropic drugs adverse reaction monitoring report less than traditional drugs; due to the particularity of patients, the lack of expression of drug caused by discomfort; lack of staff, no professional staff in clinical work, not the first time Get the information of adverse reactions; nurses lack of attention to the monitoring of adverse drug reactions; due to the introduction of the necessary competition mechanisms and incentives, medical staff of adverse reactions to the drug monitoring work is not high, the sense of responsibility is not strong; adverse drug reactions monitoring Misunderstandings exist, afraid of causing doctor-patient disputes. Conclusion It is necessary to improve the quality and quantity of ADR reports. Specialists in hospitals, nurses, pharmacy staffs and leaders should pay close attention to adverse drug reactions monitoring.