北京市医疗机构药品不良反应监测工作调研

摘要

目的 了解北京市医疗机构中药品不良反应监测工作的影响因素.方法 采用问卷调查的方式收集北京市106家二、三级医疗机构近3年来与药品不良反应监测工作相关的各项内容,比较各类型医疗机构门诊每万人报告数量、病房每百张床位报告数量、出院病人每万人报告数量间的差异,分析影响药品不良反应报告数量的主要因素.结果与结论 各政府部门间应加强合作,通过加入绩效考核等方式提高医疗机构对监测工作的重视.医疗机构监测工作部门负责人应加强与主管领导的沟通,并尽可能维护监测管理员队伍的稳定性,加强保障因素的建设力度.%Objective To investigate the factors influencing adverse drug reaction monitoring work in Beijing hospitals.Methods Questionnaires including relative factors in recent three years were distributed to 106 Beijing hospitals.The differences of adverse drug reaction report number per ten thousand outpatients,adverse drug reaction report number per 100 sickbeds and adverse drug reaction report number per ten thousand discharged patents were compared among different types of hospitals.The major influence factors were disclosed.Results and Conclusion Different government departments should cooperate to increase the awareness of hospitals on adverse drug reaction monitoring by various measures,for example,the adverse drug reaction monitoring duty was put into performance appraisal on these institutions.The people in charge of the work should strengthen the communicafion with the hospital leader,keep the adverse drug reaction monitoring administrator team stable,and enhance the construction of safeguard measures.