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国家癌症中心国家肿瘤临床医学研究中心中国医学科学院北京协和医学院肿瘤医院药剂科
纸质出版日期:2020,
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[1]马颖林,沈鑫,闫加庆,张元,乐凯迪,刘敏,李国辉.105例药品不良事件分析及干预在药品精细化质控管理中的应用[J].中国医院用药评价与分析,2020,20(09):1118-1121.
MA Yinglin, SHEN Xin, YAN Jiaqing, et al. Application of Analysis and Intervention of 105 Cases of Adverse Drug Events in Drug Quality Control Management[J]. 2020,20(9):1118-1121.
[1]马颖林,沈鑫,闫加庆,张元,乐凯迪,刘敏,李国辉.105例药品不良事件分析及干预在药品精细化质控管理中的应用[J].中国医院用药评价与分析,2020,20(09):1118-1121. DOI: 10.14009/j.issn.1672-2124.2020.09.025.
MA Yinglin, SHEN Xin, YAN Jiaqing, et al. Application of Analysis and Intervention of 105 Cases of Adverse Drug Events in Drug Quality Control Management[J]. 2020,20(9):1118-1121. DOI: 10.14009/j.issn.1672-2124.2020.09.025.
目的:了解我院药品不良事件及解决情况
探讨其对药品精细化质控管理环节改进及合理用药的影响。方法:回顾性分析2016年1月至2019年5月中国医学科学院北京协和医学院肿瘤医院(以下简称"我院")上报的105例药品不良事件报告
总结药品不良事件的特点、发生原因、解决方案以及对药事质控环节所带来的改进
并将结果运用到药品质量控制中
进一步规范药品管理。结果:我院上报的105例药品不良事件报告中
涉及的药品种类主要为调节水、电解质和酸碱平衡药
抗肿瘤药及辅助治疗药物
营养药。通过对药品不良事件发生原因的分析发现
由药品质量问题引起的有74例(占70.48%);由运输及储存过程不当引起的有6例(占5.71%);由药品使用不当引起的有25例(占23.81%)。通过对药品不良事件发生原因的调查
药剂科质控小组针对部分药品不良事件提出了合理化解释及建议。结论:我院药品不良事件的上报促进了药品生产企业改进工艺
提高了药品质量;更加规范了医务人员对药品的存储及使用;改进了临床工作流程
确保了患者用药安全。
OBJECTIVE: To investigate the adverse drug events and relevant solutions in our hospital
and to explore the influence on the improvement of refined drug quality control management and rational drug use.METHODS: Retrospective analysis was performed on 105 adverse drug events reported by Cancer Hospital
Chinese Academy of Medical Sciences and Peking Union Medical College (hereinafter referred to as "our Hospital") from Jan.2016 to May 2019
and the characteristics
causes
solutions and improvements of adverse drug events in quality control were summarized. The results were applied for the drug quality control to standardize drug management.RESULTS: Among the 105 adverse drug events reported by our hospital
the types of drugs involved were mainly drugs that regulate water
electrolyte and acid-base balance
anti-tumor drugs and adjuvant therapy drugs
and nutritional drugs. By analyzing the causes of adverse drug events
74 cases (70. 48%) were found to be induced by drug quality problems
6 cases (5. 71%) were induced by improper transportation and storage process
25 cases (23. 81%) were induced by improper drug use. Through the investigation of the causes of adverse drug events
the quality control group of pharmacy department put forward reasonable explanations and suggestions for some adverse drug events.CONCLUSIONS: The reporting of adverse drug events in our hospital has promoted the improvement of drug manufacturing process and drug quality
standardized the storage and use of drugs by medical staff
and improved the clinical workflow to ensure the safety of patients’ medication.
药品不良事件药品质量控制药品储存药品使用
Adverse drug eventsDrug quality controlDrug storageDrug use
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