改善医疗保健专业人员报告药物不良事件的情况
Gloria Shalviri1,2, Niayesh Mohebbi3, Fariba Mirbaha2
1Research Center for Rational Use of Drugs, Tehran University of Medical Sciences, Tehran, Iran.
The Cochrane database of systematic reviews
|October 29, 2024
概括
通过使用提醒卡和表格的教育课程,可以通过医疗保健专业人员改善药物不良事件 (ADE) 报告. 标准化出院表也显示报告率略有增加,提高了患者的安全性.
科学领域:
- 药物监督 药物监督 药物监督
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
背景情况:
- 药物不良事件 (ADEs),包括药物不良反应 (ADRs) 和药物错误 (ME),对健康构成重大风险.
- 医疗保健专业人员及时和自愿报告ADEs对于减轻危害至关重要.
研究的目的:
- 评估旨在增强医疗保健专业人员ADE报告的干预措施.
- 评估这些干预措施对报告的ADE数量和质量的影响.
主要方法:
- 随机试验,非随机受控研究,受控前后研究和中断时间序列研究的系统审查和元分析.
- 搜索了多个电子数据库和试验登记册,直到2022年10月.
- 包括评估旨在增加医疗保健专业人员报告ADE的干预措施的研究.
主要成果:
- 低确定性证据表明,教育课程与提醒卡和报告表相结合,显著增加了总体,严重,高因果关系,意想不到和新的与药物相关的ADR报告.
- 一个标准化的释放表格略有改善了ADR总报告的提交.
- 其他干预措施的证据,如信息信,电子邮件和财务激励,仍然不确定.
结论:
- 支持材料的教育干预似乎有效地促进了ADR报告.
- 通过标准化表格进行更简单的报告可能会使ADE报告的数量略有增加.
- 需要进一步的研究来确认各种干预措施的好处和评估危害,特别是在低收入和中等收入国家.
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