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药品不良反应:一项基于医院药房的报告计划。

Adverse drug reactions: a hospital pharmacy-based reporting scheme.

作者信息

Winstanley P A, Irvin L E, Smith J C, Orme M L, Breckenridge A M

机构信息

Royal Liverpool Hospital Pharmacy, University of Liverpool.

出版信息

Br J Clin Pharmacol. 1989 Jul;28(1):113-6. doi: 10.1111/j.1365-2125.1989.tb03513.x.

DOI:10.1111/j.1365-2125.1989.tb03513.x
PMID:2775609
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1379978/
Abstract

A pharmacy-based adverse drug reaction (ADR) reporting scheme, using pharmacists, nurses and medical practitioners as initiators of reports, was set up at the end of 1984 in the Royal Liverpool Hospital in order to encourage reporting. New reports were inspected at weekly intervals by a staff pharmacist, and a clinical pharmacologist. Reports were forwarded to the Committee on Safety of Medicines if the reaction was considered to be serious by the clinicians, or the ADR team or involved 'black triangle' drugs. The total number of ADR reports was increased eightfold by the introduction of the scheme (from 14 in 1984 to 76, 102 and 94 in 1985, 1986 and 1987 respectively), and this rate of reporting has been sustained.

摘要

1984年底,皇家利物浦医院设立了一项基于药房的药品不良反应(ADR)报告计划,该计划由药剂师、护士和医生作为报告发起人,旨在鼓励报告药品不良反应。新报告每周由一名药剂师和一名临床药理学家进行检查。如果临床医生、药品不良反应团队认为该反应严重,或者涉及“黑三角”药品,报告将被转发给药品安全委员会。该计划实施后,药品不良反应报告总数增加了八倍(从1984年的14份分别增至1985年的76份、1986年的102份和1987年的94份),且这一报告率一直保持。

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The effect of clinical pharmacists' intervention in adverse drug reaction reporting: a retrospective analysis with a 9-year interrupted time series.临床药师干预药物不良反应报告的效果:一项 9 年中断时间序列的回顾性分析。
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Impact of the black triangle label on prescribing of new drugs in the United Kingdom: lessons for the United States at a time of deregulation.黑色三角形标识对英国新药处方的影响:在放松管制时期给美国的启示。
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Academic detailing improves identification and reporting of adverse drug events.学术推广改善了药品不良事件的识别与报告。
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本文引用的文献

1
Suspected adverse drug reactions in elderly patients reported to the Committee on Safety of Medicines.向药品安全委员会报告的老年患者疑似药物不良反应。
Br J Clin Pharmacol. 1988 Oct;26(4):347-53. doi: 10.1111/j.1365-2125.1988.tb03391.x.
2
Spontaneous reporting of adverse drug reactions. II: Uses.药品不良反应的自发报告。II:用途。
Br J Clin Pharmacol. 1988 Jul;26(1):7-11. doi: 10.1111/j.1365-2125.1988.tb03357.x.
3
Comparative study of prospective surveillance and voluntary reporting in determining the incidence of adverse drug reactions.
Am J Hosp Pharm. 1977 Sep;34(9):931-6.