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药物不良反应报告系统的演变:从纸质到软件。

Evolution of adverse drug reactions reporting systems: paper based to software based.

机构信息

Department of Pharmacology, Faculty of Medicine, University of Ruhuna, Matara, Sri Lanka.

Department of Medicine, Faculty of Medicine, University of Ruhuna, Matara, Sri Lanka.

出版信息

Eur J Clin Pharmacol. 2022 Sep;78(9):1385-1390. doi: 10.1007/s00228-022-03358-3. Epub 2022 Jul 5.

Abstract

OBJECTIVE

Adverse Drug Reactions (ADR) add a significant clinical and economic burden to the healthcare system of a country. We present an overview of the different approaches of ADR reporting systems worldwide and their evolution over time.

METHODS

A systematic review of the literature was made based on PubMed and the Cochrane database of systematic reviews. The articles searched for included original articles, WHO and FDA reports and institute of medicine reports. Reporting ADRs is the cornerstone of detecting uncommon ADRs once the drugs are on the market. In many countries, ADR reporting is regulated by national regulatory bodies and various methods are employed to report ADRs. Direct reporting by healthcare professionals has been adopted by many developed and developing countries. With emerging new technologies in the field of medicine, there is a great potential to develop better ADR reporting systems in the countries where they have poor reporting.

CONCLUSION

Development and acquisition of newer technologies to promote ADR monitoring and reporting is a necessity for an effective pharmacovigilance system in a country.

摘要

目的

药物不良反应(ADR)给一个国家的医疗保健系统带来了重大的临床和经济负担。我们介绍了全球不同的药物不良反应报告系统的方法及其随时间的演变。

方法

基于 PubMed 和 Cochrane 系统评价数据库进行了系统的文献回顾。搜索的文章包括原始文章、世界卫生组织和美国食品药品监督管理局的报告以及医学研究所的报告。报告药物不良反应是在药物上市后检测罕见药物不良反应的基石。在许多国家,药物不良反应报告受到国家监管机构的监管,并且采用了各种方法来报告药物不良反应。许多发达国家和发展中国家都采用了由医疗保健专业人员直接报告的方法。随着医学领域新兴新技术的出现,在药物不良反应报告不完善的国家,有很大的潜力开发更好的药物不良反应报告系统。

结论

为了建立一个有效的药物警戒系统,发展和获取更新的技术来促进药物不良反应监测和报告是必要的。

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