共查询到13条相似文献,搜索用时 46 毫秒
1.
2.
?????? 目的 调查医务人员参与不良事件报告的现状及主要影响因素。方法 采用分层随机整群抽样方法,调查全院24个科室321名医务人员对不良事件报告制度实施的态度、知晓及执行情况。结果 85.9%的医务人员对不良事件报告制度的实施持积极态度,但10.3%的人员不知道医院实施不良事件报告制度,近一半的人员不知道报告程序,不良事件发现率仅为31.5%,报告率为13.4%。医务人员的个人认知、医院安全文化氛围、报告系统设计是影响医务人员参与报告的重要因素。结论 提高医务人员认知程度,强化不良事件报告责任,发挥管理者的重要作用,构建医院公正的安全文化,进而提高医务人员参与不良事件报告的积极性和主动性。 相似文献
4.
Reporting of medical adverse events is an important measure to prevent recurrence of adverse events and improve the quality of medical care. Through starting with policies about medical adverse event reporting system, existing medical adverse event reporting system is summarized and analyzed, the characteristics and defects are summed up, and the prospect of improving the reporting system of adverse events is made. 相似文献
5.
6.
通过介绍北京协和医院进行医疗不良事件和病人安全隐患事件报告系统工作实务,论述了在大型综合医院如何结合具体实际情况,探索有效的病人安全实践措施,旨在对医疗机构进行医疗不良事件报告系统和制度的建立、正常运行和完善有所借鉴。 相似文献
7.
8.
9.
10.
PDCA循环圈理念是广泛应用于质量管理的科学管理工具。运用其管理理念,通过对医院医疗器械不良事件上报工作联络员的知识、态度、行为等情况进行调查,了解医院工作现状及存在的问题,制定干预措施;干预后再次进行评价。旨在提高医院可疑医疗器械不良事件上报管理工作的质量。 相似文献
11.
12.
Emanuel Raschi Elisabetta Poluzzi Brian Godman Ariola Koci Ugo Moretti Marija Kalaba Marion Bennie Corrado Barbui Bjorn Wettermark Miriam Sturkenboom Fabrizio De Ponti 《PloS one》2013,8(11)
Background
Antipsychotics (APs) have been associated with risk of torsade de Pointes (TdP). This has important public health implications. Therefore, (a) we exploited the public FDA Adverse Event Reporting System (FAERS) to characterize their torsadogenic profile; (b) we collected drug utilization data from 12 European Countries to assess the population exposure over the 2005-2010 period.Methods
FAERS data (2004-2010) were analyzed based on the following criteria: (1) ≥4 cases of TdP/QT abnormalities; (2) Significant Reporting Odds Ratio, ROR [Lower Limit of the 95% confidence interval>1], for TdP/QT abnormalities, adjusted and stratified (Arizona CERT drugs as effect modifiers); (3) ≥4 cases of ventricular arrhythmia/sudden cardiac death (VA/SCD); (4) Significant ROR for VA/SCD; (5) Significant ROR, combined by aggregating TdP/QT abnormalities with VA and SCD. Torsadogenic signals were characterized in terms of signal strength: from Group A (very strong torsadogenic signal: all criteria fulfilled) to group E (unclear/uncertain signal: only 2/5 criteria). Consumption data were retrieved from 12 European Countries and expressed as defined daily doses per 1,000 inhabitants per day (DID).Results
Thirty-five antipsychotics met at least one criterium: 9 agents were classified in Group A (amisulpride, chlorpromazine, clozapine, cyamemazine, haloperidol, olanzapine, quetiapine, risperidone, ziprasidone). In 2010, the overall exposure to antipsychotics varied from 5.94 DID (Estonia) to 13.99 (France, 2009). Considerable increment of Group A agents was found in several Countries (+3.47 in France): the exposure to olanzapine increased across all Countries (+1.84 in France) and peaked 2.96 in Norway; cyamemazine was typically used only in France (2.81 in 2009). Among Group B drugs, levomepromazine peaked 3.78 (Serbia); fluphenazine 1.61 (Slovenia).Conclusions
This parallel approach through spontaneous reporting and drug utilization analyses highlighted drug- and Country-specific scenarios requiring potential regulatory consideration: levomepromazine (Serbia), fluphenazine (Slovenia), olanzapine (across Europe), cyamemazine (France). This synergy should be encouraged to support future pharmacovigilance activities. 相似文献13.
This paper describes the Adverse Drug Reaction Reporting Program developed and operated by the Committee on Drugs and Pharmaco-therapy of the Ontario Medical Association. Analyses were done to demonstrate some of the trends derived from the reports. Some of the clinical observations based on the reports, which are published quarterly and circulated to physicians and to pharmacy, nursing and hospital organizations, are also reviewed. 相似文献