CAJ | 학술논문

目的探讨在门、急诊输液室建立改良药品不良反应监测评估体系管理模式的效果.方法制订并运行与医疗安全(不良)事件报告一致的药品不良反应监测评估体系,内容包括组织结构、知识培训、事件报告和处理、数据分析研究、质量控制与持续改进等,与常规药品不良反应监测评估体系运行对比,统计门、急诊输液药品不良反应数量、质量、网络上报时间合格率等.结果改良的药品不良反应监测评估体系实施1年内,门、急诊输液药品不良反应报告数量减少,报告和处理质量明显提高,网络上报合格率提高.结论改良的药品不良反应监测评估体系在门、急诊输液安全管理中有一定指导意义,值得在临床工作中推广应用.
목적 탐토재문、급진수액실건립개량약품불량반응감측평고체계관리모식적효과.방법 제정병운행여의료안전(불량)사건보고일치적약품불량반응감측평고체계,내용포괄조직결구、지식배훈、사건보고화처리、수거분석연구、질량공제여지속개진등,여상규약품불량반응감측평고체계운행대비,통계문、급진수액약품불량반응수량、질량、망락상보시간합격솔등.결과 개량적약품불량반응감측평고체계실시1년내,문、급진수액약품불량반응보고수량감소,보고화처리질량명현제고,망락상보합격솔제고.결론 개량적약품불량반응감측평고체계재문、급진수액안전관리중유일정지도의의,치득재림상공작중추엄응용.
Objective To develop the improved monitoring and evaluation system of adverse drug reaction during infusion in clinic and emergency department,and investigate the effect of this system.Methods To develop monitoring and evaluation system of adverse drug reaction,which was consistent with the medical safety (adverse) event reporting,and running it.The system consisted of organizational structure,knowledge training,event reporting and processing,data analysis,quality control and continuous improvement.We collected the observed indicators of the cases of adverse drug reaction,quality and network reporting time pass rate,which were compared with those of the conventional system.Results One year during the improved system running,the cases of adverse drug reaction in clinic and emergency department infusion was reduced,the quality of reporting and handling significantly improved,network report pass rate increased.Conclusions Improved monitoring and evaluation system of adverse drug reactions has some significance in safety management of clinic and emergency department infusion,which is worthy of promotion in clinical work applications.