对自发报告的药物不良事件的分析:发展可预防性系统
Courage Edem Ketor1, Charles Kwaku Benneh2, Emmanuel Sarkodie3
1Pharmacy Department Jasikan District Hospital Ghana Health Service, Jasikan, Ghana.
BioMed research international
|September 9, 2024
概括
预防药物不良反应 (ADRs) 需要改善医疗保健系统. 改善患者记录并确保护理的连续性可以减少ADR的发生率,并防止患者再次使用违规药物.
科学领域:
- 药物监督 药物监督 药物监督
- 药品安全 药品安全
- 临床药房 临床药房
背景情况:
- 分析药物不良反应 (ADR) 对于制定有效的预防策略至关重要.
- 来自医疗机构的自发ADR报告为安全分析提供了有价值的数据.
研究的目的:
- 分析在五年内向加纳食品和药物管理局 (FDA) 提交的自发ADR报告.
- 在两个医疗机构中确定与ADR相关的模式和风险因素.
主要方法:
- 从重复的自发性ADR报告 (2014-2018) 中提取数据.
- 评估变量 (年龄,性别,药物来源) 与ADR结果之间的关联,使用奇平方或克莱默V测试.
主要成果:
- 最常见的是A型反应 (65.2%),大多数患者完全康复 (80%).
- 皮肤和中枢神经系统 (CNS) 是受影响最多的器官;老年患者 (>30) 和女性显示中枢神经系统/皮肤ADR发生率较高.
- 副作用的严重程度与处方者类型,药物处方状态和治疗方案的适当性有关.
结论:
- 通过改进系统来避免患者使用违规药物再次挑战,可以预防许多ADR.
- 更新患者的药物记录并确保护理的连续性对于预防不良药物事件至关重要.
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