用药错误及其防范.ppt

用药错误及其防范;提要;… bearing in mind the previous report on the subject, that highlight challenges related to the international trade agreements, access to essential drugs, drug quality and rational use of medicines, together with the urgent need to improve access to treating priority health problems such as malaria, childhood illnesses, HIV/AIDS and tuberculosis, among others; REQUESTS Director-General: … (3) to provide support for implementation of drug monitoring systems in order better to identify developing resistance, adverse reactions and misuse of drugs within health systems, thus promoting rational use of drugs; (6) to provide support to Member States to set up efficient national regulatory mechanisms for quality assurance that will help ensure compliance with good manufacturing practices, bioavailability and bioequivalence ;… Concerned that the incidence of adverse events is a challenge to quality of care, a significant avoidable cause of human suffering, and high toll in financial loss and opportunity cost to health services; Noting that significant enhancement of health systems’ performance can be achieved … by preventing adverse events in particular, and improving patient safety and health care quality in general; REQUESTS Director-General: … (1) to develop global norms, standards and guidelines for the definition, measurement and reporting of adverse events..., and to provide support to countries in developing reporting systems, taking preventive action … ; (2) to promote framing of evidence-based policies, including global standards that will improve patient care, with particular emphasis on such aspects as product safety, safe clinical practice … and safe use of medicinal products and medical devices, and creation of a culture of safety within health care organizations. ;马晓伟副部长部长在2005年4月18日卫生部医院管理年工作会议上的报告;一、引　言;引言;引　言;引　言;引　言;违疾忌医？ 直面问题、分析问题、解决问题？;药品安全问题;二、Medication Error (ME)的定义;定义： 　 在药品为医务专业人员或病人控制时，任何可以防范的可能引起或导致不恰当地应用药品或伤害病人的事件。 此类事件可能与下述情