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医务人员在巴格达市报告药物不良反应的经验:横断面研究。

Healthcare personnel's experience of reporting adverse drug reactions in Baghdad city: cross-sectional study.

机构信息

Department of Pharmacology and Toxicology, Faculty of Pharmacy, Al-Rafidain University College, 10052 Al-Mustansiriya, Baghdad, Iraq.

Department of Pharmacology, College of Dentistry, University of Sulaimani, Sulaymaniyah, Kurdistan Region, Iraq.

出版信息

Int J Clin Pharm. 2019 Oct;41(5):1307-1313. doi: 10.1007/s11096-019-00867-7. Epub 2019 Jun 25.

DOI:10.1007/s11096-019-00867-7
PMID:31240554
Abstract

Background Adverse drug reactions (ADRs) are undesirable effects to drugs at doses normally used in the clinical setting for diagnosis, treatment or prophylaxis of diseases. Spontaneous ADR reporting is currently considered as a critical part of ADRs detection. Objective The study aims to assess the knowledge, attitude, and practice of healthcare providers towards adverse drug reaction reporting in public and private settings within the Baghdad area. Method We follow a quantitative cross-sectional study design, using a self-administered questionnaire to collect data from the healthcare providers regarding their reporting practice. Main outcome The outcome measures include the experiences of reporting of adverse drug reactions and the available systems, in addition to the expected benefits to clinical practice. Results Among 485 respondents, 114 were able to differentiate ADRs from side effects. About half of them (47.6%) recognized the availability of reporting systems and 43.3% knew how to report adverse drug reactions. 43.7% of the respondents mentioned that ADRs should be reported only when they are life-threatening. Among the 188 respondents who encountered ADRs, 145 reported the events to the accessible local authority. Conclusion The healthcare providers working in Baghdad healthcare institutions have a good attitude toward ADR reporting. There is a relatively below-standard reporting culture of the encountered adverse reactions. The inadequate knowledge about adverse reactions and the unavailability of reporting forms played a major role in discouraging healthcare professionals to detect and report ADRs.

摘要

背景

药物不良反应(ADR)是指在临床环境中用于诊断、治疗或预防疾病的常规剂量下药物产生的不良影响。自发的药物不良反应报告目前被认为是药物不良反应检测的重要组成部分。

目的

本研究旨在评估巴格达地区公共和私人医疗机构医护人员对药物不良反应报告的知识、态度和实践情况。

方法

我们采用定量横断面研究设计,使用自填式问卷收集医护人员关于其报告实践的数据。

主要结果

衡量指标包括药物不良反应报告的经验和现有的系统,以及对临床实践的预期益处。

结果

在 485 名受访者中,有 114 名能够将药物不良反应与副作用区分开来。其中约一半(47.6%)认识到报告系统的可用性,43.3%知道如何报告药物不良反应。43.7%的受访者表示,只有当药物不良反应危及生命时才应报告。在 188 名遇到药物不良反应的受访者中,有 145 名向可获得的当地主管部门报告了事件。

结论

在巴格达医疗机构工作的医护人员对药物不良反应报告持积极态度。但遇到不良反应的报告文化相对较低标准。对药物不良反应的知识不足和缺乏报告表格在很大程度上阻碍了医疗专业人员发现和报告药物不良反应。

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