药物不良事件和报告研究 (RADAR) 项目
Charles L Bennett1, Jonathan R Nebeker, E Allison Lyons
1Jesse Brown VA Medical Center/Mid-West Center for Health Services and Policy Research, Chicago, Ill 60611, USA. cbenne@northwestern.edu
JAMA
|May 5, 2005
概括
药物不良事件和报告研究 (RADAR) 计划确定了16种严重的不良药物反应,提高了患者的安全性. 这种基于临床的监测补充了现有的系统,以更好地监测药物安全.
科学领域:
- 药物监督 药物监督 药物监督
- 临床研究 临床研究
- 患者安全 患者安全
背景情况:
- 药物不良事件和报告研究 (RADAR) 计划成立于1998年,是一项临床营销后监测计划.
- 它系统地调查和传播有关严重和以前未被认可的药物和设备不良反应 (ADR) 的信息.
研究的目的:
- 概述RADAR项目的结构,操作和初步发现.
- 描述涉及制药供应商和FDA的传播工作.
主要方法:
- 对严重,意想不到的临床事件进行假设驱动的调查.
- 从医生查询,临床试验,病例报告,FDA数据库和销售数据收集数据.
- 导出发病率估计和实验室支持假设的推导.
主要成果:
- 雷达在1699名患者中发现了16种类型的严重副作用,其中169人 (10%) 死亡.
- 多个数据来源有助于病例识别和发病率估计.
- 传播包括修订的包装插件,"亲爱的医生"信件和同行评审的文章.
结论:
- 开发了一种新的,基于临床的,以假设为导向的营销后监测方法.
- 这种方法可以补充现有的监管监督系统.
- 雷达 (RADAR) 计划有可能显著提高患者安全.
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