我院医护人员对药品不良反应认知情况调查分析

目的了解该院医护人员对药品不良反应(ADR)的认知情况,分析该院ADR上报率低的原因。方法采取随机抽样法,通过调查问卷的形式对该院医护人员进行ADR认知度调查。结果回收有效问卷209份,回收率为96.2%,问卷有效率为90.8%。共调查医师126人,护理人员83人;ADR概念正确知晓率为41.6%,62.7%的人认为ADR与医疗纠纷有关,63.6%的人认为ADR与医疗质量有关;仅有20.1%的人知道ADR应上报给医院哪个部门,15.8%的人不知道医院有不良反应监测及上报制度,41.6%的人曾经报告过ADR,其中35人通过填写ADR报告上报,正确上报率为16.7%;97.6%的人认为报告ADR是医务工作者的职责,46.9%的人认为应将ADR上报作为一项临床工作人员年度考核指标,52.6%的人认为应给予漏报ADR的人员处罚,67.9%的人认为报告ADR应给予相应报酬,79.9%的人认为医院内需设置从事ADR监测工作的专职人员。结论该院医护人员对ADR法规及知识的整体认知度、监测及报告制度及程序的认知度偏低,ADR的正确上报率偏低,是造成我院ADR报告率低的主要原因。加强对医护人员的相关法规及知识教育和培训;设置ADR上报专员,明确责任,落实奖惩;临床药师应在协助医护人员进行不良反应监测、鉴别及上报等方面发挥积极作用,提高我院ADR上报数量及质量。

Analysis of the awareness of the adverse drug reactions to medical staff in our hospital

Objective To understand level and attitude of medical staffin our hospital on adverse drug reactions（ADR）,for analysising the reason of low ADR reporting rate.Methods By Random sampling method,the medical staff answered questionnaire survey,the survey results were analyzed.Results Questionnaire recycling rate was 96.2% and available rate was 90.8%.The accuracy awareness rate of ADR definition was 41.6%,62.7% and 63.6% staff thought ADR was relevant of medical dispute and medical quality.Only 20.1% staff knew the ADR reporting department,while 15.8% didn＇t know hospital ADR reporting and testing regulations.41.6% staff reported ADR,but only 16.7% chose the right way.97.6% and 46.9% staff though reporting ADR was the responsibility and assessment index of hospital medical staff.52.6% staff though punishment the staff who omission of ADR,while 52.6% staff though reward reporting staff.79.9% staff thought hospital should set specialized people for ADR reporting and testing work.Conclusion The low investigation of awareness of ADR reporting and testing of our hospital medical staff was the main reason of low reporting rate.Both propaganda and education should be strengthened to improve the cognition degree about ADR during the healthcare professionals and to elevate their consciousness in the ADR monitoring.