揭开隐藏的障碍:探索荷兰儿科药物监督方面的挑战
Anne T M Dittrich1, Yvet Kroeze2, Michel A A P Willemsen3
1Department of Pediatrics, Radboudumc Amalia Children's Hospital, 6500 HB, Nijmegen, The Netherlands. anne.dittrich@radboudumc.nl.
Drug safety
|August 3, 2025
概括
儿科医生认识到报告药物不良反应 (ADRs) 的重要性,但诸如预先了解反应和时间限制等障碍阻止了许多人报告. 解决这些问题对于改善药物安全至关重要.
科学领域:
- 药物监督 药物监督 药物监督
- 儿科医疗保健 儿科医疗保健
- 药品安全 药品安全
背景情况:
- 药物不良反应 (ADRs) 在药物使用中存在风险.
- 荷兰有一个自愿的药物监测系统,用于报告ADR.
- 低报告ADR是一个已知的问题,但具体的障碍仍然不清楚.
研究的目的:
- 评估儿科医生对ADR报告的看法.
- 确定阻碍儿科医生报告ADR的障碍.
- 比较特定医院与其他荷兰医院之间的ADR报告实践.
主要方法:
- 在荷兰对儿科医生 (正在接受培训) 进行了横截面调查.
- 该研究使用了一份经过验证的,适应荷兰环境的问卷.
- 该调查涵盖了ADR报告知识,态度和不报告的原因.
主要成果:
- 这项研究包括127名儿科医生 (正在接受培训).
- 93%的人知道如何报告ADR,95%的人认为报告会增强知识和药物安全.
- 报告的主要障碍包括事先了解ADR (61%),严重程度的不确定性和时间限制.
结论:
- 医疗保健专业人员承认ADR报告的重要性.
- 几种障碍阻碍了儿童医疗保健机构报告ADR.
- 解决这些障碍对于改善药监工作至关重要.
相关概念视频
Pharmacovigilance
981
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
981
Drug Regulation
1.8K
Drug regulation encompasses the management of drug usage by evaluating its safety and efficacy through assessments conducted by regulatory authorities. Regrettably, the history of drug regulation is marred by several catastrophic events. One such incident is the Elixir Sulfanilamide tragedy, in which the toxic compound diethyl glycol was included in a sweet-tasting medication, leading to numerous fatalities. This event prompted the enactment of the Food, Drug, and Cosmetic Act in 1938. Under...
1.8K
Factors Affecting Drug Response: Overview
2.3K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
2.3K
Ethical Dilemmas I
1.0K
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
1.0K
Prescription, Nonprescription and Orphan Drugs
842
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
842
Preclinical Development: Overview
4.8K
Preclinical development consists of a series of tests that ensure the safety and efficacy of a new therapeutic compound before it is tested in humans. There are four main phases to this process. First, safety pharmacology tests are conducted to ensure the drug does not produce any acutely harmful effects. These tests examine parameters such as bronchoconstriction, cardiac dysrhythmias, blood pressure changes, and ataxia. Next, preliminary toxicological testing is performed to determine the...
4.8K


