Sears Erin L, Generali Joyce A
Department of Pharmacy, Baylor Institute for Rehabilitation, 3505 Gaston Avenue, Dallas, TX 85246-2094, USA.
Ann Pharmacother. 2005 Mar;39(3):452-9. doi: 10.1345/aph.1E369. Epub 2005 Feb 8.
The reporting of adverse drug reactions (ADRs) and medication errors is the responsibility of all who are involved, particularly pharmacists. Since pharmacists are often privy to information surrounding ADRs and medication errors, it is of utmost importance that they are educated regarding the procedures of reporting.
To determine pharmacy students' knowledge of and ability to report ADRs and medication errors.
A total of 1322 students from 9 colleges of pharmacy were surveyed.
The largest group of respondents was fifth-year pharmacy students (38%) followed by third-, fourth-, and sixth-year students (28%, 26%, and 8%, respectively). The majority of students reported learning about ADR and medication error reporting programs via didactic experiences. In comparison, fewer students cited alternative mechanisms of learning, including experiential rotations and work experience. Overall, respondents demonstrated the most experience with MedWatch and the least experience with the Vaccine Adverse Event Reporting System (VAERS). As students progressed through pharmacy curricula, there was a positive trend in the ability to locate and complete MedWatch forms. For VAERS and Medication Error Reporting (MER) program forms, however, this positive trend was broken at year 4. For all programs, significantly fewer students demonstrated appropriate use of the forms compared with those indicating familiarity with the programs.
This study demonstrated that students are becoming familiar with ADR and MER programs via the college curriculum; however, there is opportunity for greater exposure and understanding. Colleges of pharmacy should continually seek methods to strengthen the education provided to pharmacy students regarding these programs.
报告药品不良反应(ADR)和用药差错是所有相关人员的责任,尤其是药剂师。由于药剂师常常知晓与药品不良反应和用药差错相关的信息,因此对他们进行报告程序方面的教育至关重要。
确定药学专业学生对报告药品不良反应和用药差错的知识及能力。
对9所药学院的1322名学生进行了调查。
最大的受访者群体是五年级药学专业学生(38%),其次是三年级、四年级和六年级学生(分别为28%、26%和8%)。大多数学生报告称通过理论学习了解药品不良反应和用药差错报告程序。相比之下,较少学生提及其他学习途径,包括实习轮转和工作经验。总体而言,受访者对MedWatch最为熟悉,而对疫苗不良事件报告系统(VAERS)最不熟悉。随着学生在药学课程学习中的推进,查找并填写MedWatch表格的能力呈积极趋势。然而,对于VAERS和用药差错报告(MER)程序表格,这种积极趋势在四年级时中断。对于所有程序,与表示熟悉这些程序的学生相比,显著更少的学生能够正确使用表格。
本研究表明,学生正通过大学课程逐渐熟悉药品不良反应和用药差错报告程序;然而,仍有机会增加接触并加深理解。药学院应不断寻求方法,加强对药学专业学生关于这些程序的教育。