25/1/20Da-YouWang,HuashanHospital1用药错误及其防范复旦大学附属华山医院王大猷上海200040Wangdayou@hotmail.com25/1/20Da-YouWang,HuashanHospital2提要一、引言二、ME的定义三、危害四、分类五、原因六、因素七、防范对策八、政府干预的建议九、结语25/1/20Da-YouWang,HuashanHospital3…bearinginmindthepreviousreportonthesubject,thathighlightchallengesrelatedtotheinternationaltradeagreements,accesstoessentialdrugs,drugqualityandrationaluseofmedicines,togetherwiththeurgentneedtoimproveaccesstotreatingpriorityhealthproblemssuchasmalaria,childhoodillnesses,HIV/AIDSandtuberculosis,amongothers;REQUESTSDirector-General:…(3)toprovidesupportforimplementationofdrugmonitoringsystemsinorderbettertoidentifydevelopingresistance,adversereactionsandmisuseofdrugswithinhealthsystems,thuspromotingrationaluseofdrugs;(6)toprovidesupporttoMemberStatestosetupefficientnationalregulatorymechanismsforqualityassurancethatwillhelpensurecompliancewithgoodmanufacturingpractices,bioavailabilityandbioequivalenceWorldHealthAssemblyresolution54.11,21May2001:WHOMedicinesStrategy25/1/20Da-YouWang,HuashanHospital4…Concernedthattheincidenceofadverseeventsisachallengetoqualityofcare,asignificantavoidablecauseofhumansuffering,andhightollinfinanciallossandopportunitycosttohealthservices;Notingthatsignificantenhancementofhealthsystems’performancecanbeachieved…bypreventingadverseeventsinparticular,andimprovingpatientsafetyandhealthcarequalityingeneral;REQUESTSDirector-General:…(1)todevelopglobalnorms,standardsandguidelinesforthedefinition,measurementandreportingofadverseevents...,andtoprovidesupporttocountriesindevelopingreportingsystems,takingpreventiveaction…;(2)topromoteframingofevidence-basedpolicies,includingglobalstandardsthatwillimprovepatientcare,withparticularemphasisonsuchaspectsasproductsafety,safeclinicalpractice…andsafeuseofmedicinalproductsandmedicaldevices,andcreationofacultureofsafetywithinhealthcareorganizations.WorldHealthAssemblyresolution,May2002:QualityofCare:PatientSafety25/1/20Da-YouWang,Hua...