Background: In Pharmacovigilance, spontaneous reporting of adverse drug reactions is the most common method used in many countries around the world to detect and monitor adverse drug reactions. Among sources of ADR reports, reports performed at health facilities play an important role in detecting adverse drug reactions of newly introduced drugs, serious adverse reactions, and adverse drug reactions which can be detected early. Objectives: (1) To investigate the implementation of adverse drug reaction reporting activities at Hue University of Medicine and Pharmacy Hospital for the period 2017-2019, (2) To analyze activities of reporting adverse reactions of drugs at Hue University of Medicine and Pharmacy Hospital for the period of 2017-2019. Materials and methods: We performed a descriptive cross-sectional study on pharmacists who reported ADR and a total of 138 ADR reports archived at pharmacy department of the hospital. Results and Conclusions: The groups of evaluation criteria for the management organization, resources and communication activities related to the adverse drug reaction reporting were scored over 75% of the maximum. In 2017, the reporting rate compared to the whole country reached 0.62% and decreased to 0.37% in 2019. The proportion of good quality reports increased from 34.62% in 2017 to 91.49% in 2019. Almost ADR reports came from nurses (85.51%). The other beta - lactam antibacterial group was the most reported group of suspect drugs (52.17%). The most reported pairs of drugs - adverse reactions were Ceftriaxon - rash (13.04%), Ceftriaxon - pruritus (7.97%) and Ceftriaxon - vomiting (7.97%). Key words: Pharmacovigilance, adverse drug reactions, medical facility
Background: Adverse drug event (ADE) is one of the most common causes of injury to patients, accounting for 19% of adverse events (AEs), particularly among the elderly due to their sensitivity to ADE. Thus, taking ADE detection is the first vital step in improving medication safety. Objective: This study aimed to develop an appropriate modified triggers tool based on Institute for Healthcare Improvement (IHI) Global Trigger tool for Adverse Events detecting potential ADEs in patients at Hue University Hospital. Materials and methods: Using a retrospective study on the medical records of inpatients treated in Hue University of Medicine and Pharmacy Hospital in 2020. Results: The modified ADE trigger tool encompassed 13 triggers. In the screening stage, the ADEs were found in 18 medical records (1.9% of total screening records), and 22 ADEs were identified, in which 19 ADEs were determined as adverse drug reactions (ADRs). The study also found that 17/19 ADRs had not been reported via a spontaneous reporting system (89.5%). The modified ADE Trigger tool’s positive predictive value (PPV) was 0.06. Conclusion: A modified ADE Trigger tool for detecting ADE has been constructed and applied at Hue University of Medicine and Pharmacy Hospital. This study would be the first motivation for further studies that attempt to apply this tool into daily clinical pharmacy activities and emphasize the role of Clinical Pharmacists at the hospital. Key words: Adverse Drug Event, adverse event, geriatrics, clinical pharmacy.
Background: The study aims to develop a scale measuring the quality of pharmacy services and analyze the factors influcencing patient satisfaction with quality of pharmacy services at the outpatient drug dispensary. Subjects and methods: The tool to assess the satisfaction level and related factors were developed and explored through interviewing patients. Evaluate results through measurement and analysis methods. Results: The new reliable scale was constructed with 26 observed variables. The average patient satisfaction level is 3.90 ± 0.51 by using 5-point Likert scale. Five factors including: dispensing operation, facilities, professional qualifications, medications and staffs most affected patient satisfaction in descending order; explained by 55.3% of the variation in satisfaction among patients. Conclusions: A new scale has been developed to measure patient satisfaction of pharmacy services. Patients were satisfied with the quality of pharmacy services at the outpatient drug dispensary. Dispensing operation was the most important factor of patient satisfaction. Key words: quality of pharmacy services, patient satisfaction.
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