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首页> 外文期刊>Pharmacoepidemiology and drug safety >Spontaneous reporting of adverse drug reactions by nurses.
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Spontaneous reporting of adverse drug reactions by nurses.

机译：护士自发报告药物不良反应。

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BACKGROUND: Spontaneous reporting of adverse drug reactions (ADRs) remains one of the most effective methods to detect new and serious drug reactions. However, it is well known that there is a high degree of under-reporting. OBJECTIVE: This study was carried out as an attempt to improve and increase the reporting of ADRs by investigating the utility of nurses reporting in addition to physicians, as usual. METHODS: During a 12-month study period, nurses working at two departments of geriatric medicine in northern Sweden received special instruction regarding drugs and ADRs, ADR reporting and special aspects of ADRs in elderly people. The reports from the nurses were scrutinized concerning the seriousness of the reaction, reported drugs and type of reaction (type A or B). All nurses working at the two departments (117) were eligible to report but in practice only those attending the teaching sessions did so. A comparison with historical reporting and with reporting from other geriatric departments in Sweden was also carried out. At the end of the study all participating nurses received a questionnaire aimed at investigating their attitudes towards ADR reporting. RESULTS: After the 12-month study period 18 ADR reports involving 22 reactions had been received. Seven of these were assessed as serious reactions. All of the reactions were of type A. In comparison, during the corresponding time period from the study clinics during the preceding year, only two reports were registered. During the study period only 15 reports were registered from the other 50 geriatric departments in Sweden. CONCLUSION: Even though the total number of ADR reports was small, our data indicate a substantial increase in the reporting rate. This indicates that instructed and interested nurses could play an important role in detecting and reporting suspected ADRs.
机译：背景：自发报告药物不良反应（ADR）仍然是检测新的和严重的药物反应的最有效方法之一。但是，众所周知，存在严重的漏报。目的：进行这项研究是为了像往常一样通过调查除医生以外的护士报告的效用来改善和增加ADR的报告。方法：在为期12个月的研究期内，瑞典北部两个老年医学部门的护士接受了有关药物和ADR，ADR报告和老年人ADR特殊方面的特别指导。仔细检查了护士的报告，包括反应的严重程度，所报告的药物和反应类型（A型或B型）。在两个部门工作的所有护士（117）都有资格报告，但实际上只有参加教学会议的护士才可以报告。还与历史报告和瑞典其他老年病部门的报告进行了比较。在研究结束时，所有参与调查的护士均收到了一份问卷，旨在调查他们对ADR报告的态度。结果：在为期12个月的研究期后，已收到18份涉及22种反应的ADR报告。其中有七个被评估为严重反应。所有反应均为A型。相比之下，在上一年研究诊所的相应时间段内，仅注册了两个报告。在研究期间，瑞典其他50个老年病科仅注册了15份报告。结论：尽管ADR报告总数很少，但我们的数据表明报告率显着提高。这表明受过指导和感兴趣的护士可以在发现和报告可疑ADR中发挥重要作用。

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