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教学医院医生中与药品不良反应报告相关的知识、态度和行为

Knowledge, attitude and practices associated with adverse drug reaction reporting amongst doctors in a teaching hospital.

作者信息

Chopra Deepti, Wardhan Neeta, Rehan H S

机构信息

Department of Pharmacology, Lady Hardinge Medical College, New Delhi, India.

出版信息

Int J Risk Saf Med. 2011;23(4):227-32. doi: 10.3233/JRS-2011-0543.

Abstract

AIM

This study was aimed at investigating the knowledge, attitude and practices associated with adverse drug reaction (ADR) reporting among doctors in a teaching hospital.

METHODS

A total of 100 doctors working in a teaching hospital were evaluated with a questionnaire for their knowledge, attitude and practices related to ADR reporting and pharmacovigilance programmes.

RESULTS

Nearly two third (66%) of the doctors knew the definition of ADR. Only one third (38%, 40%) could correctly define pharmacovigilance and adverse drug event (ADE) respectively. Although 100% of the doctors felt the need for a National Pharmacovigilance Programme (NPP) only approximately three fourth (73%) were aware of the existing programme in India and nearly half of the them (47%) actually knew the current status of the NPP at their institute. Surprisingly only one tenth of the doctors (10%) knew what should be reported. The majority (74.4%) felt that reactions to new drug should be reported and also those reactions that are serious and unusual. Only one third (30%) knew whom to report to and less than half (30%) had actually ever reported an ADR.

CONCLUSION

The knowledge of ADRs and how to report them is inadequate among doctors. More awareness should be created regarding the purpose and usefulness of ADR reporting through Continuous Medical Education, training and integration of ADR reporting into the clinical activities of the doctors.

摘要

目的

本研究旨在调查一家教学医院医生中与药品不良反应(ADR)报告相关的知识、态度和行为。

方法

采用问卷调查对一家教学医院的100名医生进行评估,了解他们与ADR报告及药物警戒计划相关的知识、态度和行为。

结果

近三分之二(66%)的医生知晓ADR的定义。分别只有三分之一(38%、40%)的医生能够正确定义药物警戒和药品不良事件(ADE)。尽管100%的医生认为需要国家药物警戒计划(NPP),但只有约四分之三(73%)的医生知晓印度现有的该计划,且其中近一半(47%)的医生实际了解其所在机构NPP的现状。令人惊讶的是,只有十分之一的医生(10%)知道应报告哪些内容。大多数医生(74.4%)认为应报告对新药的反应以及严重和异常的反应。只有三分之一(30%)的医生知道向谁报告,且不到一半(30%)的医生实际报告过ADR。

结论

医生对ADR及其报告方式的了解不足。应通过继续医学教育、培训以及将ADR报告纳入医生的临床活动,提高对ADR报告目的和作用的认识。

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