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沙特阿拉伯一家三级护理医院医生对药物不良反应报告的认知与障碍

Knowledge and Barriers Among Physicians Toward Adverse Drug Reaction Reporting at a Tertiary Care Hospital in Saudi Arabia.

作者信息

Al-Abdulkarim Dalal Abdulrazaq, Aljadhey Hisham S, Mahmoud Mansour A, Poff Gregory A, Hassali Mohamed Azmi, Ali Sheraz

机构信息

Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia.

King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.

出版信息

Hosp Pharm. 2021 Aug;56(4):368-373. doi: 10.1177/0018578720910385. Epub 2020 Mar 4.

Abstract

BACKGROUND

Spontaneous reporting systems are essential as they help detect serious unknown adverse drug reaction (ADR). However, underreporting of ADR is a commonly associated problem. This research work aims to assess knowledge, barriers, and factors that encourage the reporting of ADR among physicians.

METHODS

A total of 600 physicians working at a tertiary referral hospital in Riyadh, Saudi Arabia, were included in this cross-sectional study. A pretested questionnaire was used.

RESULTS

Out of the 600 physicians, 240 (40%) completed the questionnaire. Most of the participants (85.4%) could correctly define ADR; nearly 75% physicians were unaware of the spontaneous reporting of ADR in Saudi Arabia. A total of 175 (72.9%) physicians had not reported any ADR among their patients in the last year; 40% of the physicians said that they did not report ADR because they were unaware of the online reporting of ADR. Providing guidelines and regular bulletins on the reporting of ADR is a critical aspect that encourages physicians to report ADR (51%). Education and training are the most recognized measures for improving the reporting of ADR.

CONCLUSION

Physicians were adequately aware of ADR but inadequately aware of the reporting system and reporting authorities. Continuing medical education, training, and integration of the reporting of ADR into physicians' various clinical activities may improve ADR reporting.

摘要

背景

自发报告系统至关重要,因为它们有助于发现严重的未知药物不良反应(ADR)。然而,ADR报告不足是一个常见的相关问题。这项研究工作旨在评估医生中ADR报告的知识、障碍和促进因素。

方法

这项横断面研究纳入了沙特阿拉伯利雅得一家三级转诊医院的600名医生。使用了一份经过预测试的问卷。

结果

在600名医生中,240名(40%)完成了问卷。大多数参与者(85.4%)能够正确定义ADR;近75%的医生不知道沙特阿拉伯的ADR自发报告。在过去一年中,共有175名(72.9%)医生没有报告过他们患者中的任何ADR;40%的医生表示他们不报告ADR是因为他们不知道ADR的在线报告。提供ADR报告指南和定期简报是鼓励医生报告ADR的一个关键方面(51%)。教育和培训是提高ADR报告最认可的措施。

结论

医生对ADR有足够的认识,但对报告系统和报告机构的认识不足。继续医学教育、培训以及将ADR报告纳入医生的各种临床活动可能会改善ADR报告。

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