{"title":"在Bathalapalli医院实施药物警戒以监测药物不良反应并改善患者护理","authors":"Kommanuru Venkata Ramakrishna Teja","doi":"10.24321/2278.2044.202331","DOIUrl":null,"url":null,"abstract":"Introduction: Although adverse drug reaction (ADR) monitoring is widely known, it is not practised in underdeveloped nations due to a lack of awareness and the absence of a central coordinating agency. The recent implementation of the National Pharmacovigilance Programme has encouraged ADR monitoring in some centres. Methods: The purpose of this study was to evaluate the sternness of described ADRs, the additional financial costs associated with ADRs, and the present load of ADRs at a Rural Development Trust (RDT) Hospital in Bathalapalli, Andhra Pradesh, India. The study was carried out over 26 months of inpatient admissions to the medical wards. Results: 37 of the 74 adverse drug events (ADEs) that were reported by 56 individuals were indeed ADRs. There were 521 patients admitted, and 9.7% of those ADRs occurred during hospitalisation. Males (56%) had ADRs more often than females (44%). During the hospital stay, no discernible difference between males and females was seen. ADR rates were 19.0%, 20.0%, and 61.0 % for paediatric, geriatric, and adult patients, respectively. Based on ADR severity, more than half of the reported reactions (76.49%) were in the moderate category, followed by mild (13.51%) and severe (10%) categories. 39.6% of patients recovered from the incident. The majority of the responses showed that the ADRs were unexpected and possibly avoidable. Conclusion: According to the study’s findings, 90% of ADRs might be prevented, saving the health system money and decreasing patient expenditures. To prevent unknown and severe ADRs, new medications should be continuously monitored.","PeriodicalId":276735,"journal":{"name":"Chettinad Health City Medical Journal","volume":"211 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Implementing Pharmacovigilance at Bathalapalli Hospital to Monitor Adverse Drug Reactions and Improve Patient Care\",\"authors\":\"Kommanuru Venkata Ramakrishna Teja\",\"doi\":\"10.24321/2278.2044.202331\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Introduction: Although adverse drug reaction (ADR) monitoring is widely known, it is not practised in underdeveloped nations due to a lack of awareness and the absence of a central coordinating agency. The recent implementation of the National Pharmacovigilance Programme has encouraged ADR monitoring in some centres. Methods: The purpose of this study was to evaluate the sternness of described ADRs, the additional financial costs associated with ADRs, and the present load of ADRs at a Rural Development Trust (RDT) Hospital in Bathalapalli, Andhra Pradesh, India. The study was carried out over 26 months of inpatient admissions to the medical wards. Results: 37 of the 74 adverse drug events (ADEs) that were reported by 56 individuals were indeed ADRs. There were 521 patients admitted, and 9.7% of those ADRs occurred during hospitalisation. Males (56%) had ADRs more often than females (44%). During the hospital stay, no discernible difference between males and females was seen. ADR rates were 19.0%, 20.0%, and 61.0 % for paediatric, geriatric, and adult patients, respectively. Based on ADR severity, more than half of the reported reactions (76.49%) were in the moderate category, followed by mild (13.51%) and severe (10%) categories. 39.6% of patients recovered from the incident. The majority of the responses showed that the ADRs were unexpected and possibly avoidable. Conclusion: According to the study’s findings, 90% of ADRs might be prevented, saving the health system money and decreasing patient expenditures. To prevent unknown and severe ADRs, new medications should be continuously monitored.\",\"PeriodicalId\":276735,\"journal\":{\"name\":\"Chettinad Health City Medical Journal\",\"volume\":\"211 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-06-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Chettinad Health City Medical Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.24321/2278.2044.202331\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Chettinad Health City Medical Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.24321/2278.2044.202331","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Implementing Pharmacovigilance at Bathalapalli Hospital to Monitor Adverse Drug Reactions and Improve Patient Care
Introduction: Although adverse drug reaction (ADR) monitoring is widely known, it is not practised in underdeveloped nations due to a lack of awareness and the absence of a central coordinating agency. The recent implementation of the National Pharmacovigilance Programme has encouraged ADR monitoring in some centres. Methods: The purpose of this study was to evaluate the sternness of described ADRs, the additional financial costs associated with ADRs, and the present load of ADRs at a Rural Development Trust (RDT) Hospital in Bathalapalli, Andhra Pradesh, India. The study was carried out over 26 months of inpatient admissions to the medical wards. Results: 37 of the 74 adverse drug events (ADEs) that were reported by 56 individuals were indeed ADRs. There were 521 patients admitted, and 9.7% of those ADRs occurred during hospitalisation. Males (56%) had ADRs more often than females (44%). During the hospital stay, no discernible difference between males and females was seen. ADR rates were 19.0%, 20.0%, and 61.0 % for paediatric, geriatric, and adult patients, respectively. Based on ADR severity, more than half of the reported reactions (76.49%) were in the moderate category, followed by mild (13.51%) and severe (10%) categories. 39.6% of patients recovered from the incident. The majority of the responses showed that the ADRs were unexpected and possibly avoidable. Conclusion: According to the study’s findings, 90% of ADRs might be prevented, saving the health system money and decreasing patient expenditures. To prevent unknown and severe ADRs, new medications should be continuously monitored.