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1、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.com2021/8/131Da-YouWang,HuashanHospital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2021/8/132Da-YouWang,HuashanHospital…bearinginmindthepreviousreportonthesubject,thathighlightchallengesrelatedtotheinternationaltradeagreements,a
2、ccesstoessentialdrugs,drugqualityandrationaluseofmedicines,togetherwiththeurgentneedtoimproveaccesstotreatingpriorityhealthproblemssuchasmalaria,childhoodillnesses,HIV/AIDSandtuberculosis,amongothers;REQUESTSDirector-General:…(3)toprovidesupportforimplementationofdrugmonitorings
3、ystemsinorderbettertoidentifydevelopingresistance,adversereactionsandmisuseofdrugswithinhealthsystems,thuspromotingrationaluseofdrugs;(6)toprovidesupporttoMemberStatestosetupefficientnationalregulatorymechanismsforqualityassurancethatwillhelpensurecompliancewithgoodmanufacturing
4、practices,bioavailabilityandbioequivalenceWorldHealthAssemblyresolution54.11,21May2001:WHOMedicinesStrategy2021/8/133Da-YouWang,HuashanHospital…Concernedthattheincidenceofadverseeventsisachallengetoqualityofcare,asignificantavoidablecauseofhumansuffering,andhightollinfinanciallo
5、ssandopportunitycosttohealthservices;Notingthatsignificantenhancementofhealthsystems’performancecanbeachieved…bypreventingadverseeventsinparticular,andimprovingpatientsafetyandhealthcarequalityingeneral;REQUESTSDirector-General:…(1)todevelopglobalnorms,standardsandguidelinesfort
6、hedefinition,measurementandreportingofadverseevents...,andtoprovidesupporttocountriesindevelopingreportingsystems,takingpreventiveaction…;(2)topromoteframingofevidence-basedpolicies,includingglobalstandardsthatwillimprovepatientcare,withparticularemphasisonsuchaspectsasproductsa
7、fety,safeclinicalpractice…andsafeuseofmedicinalproductsandmedicaldevices,andcreationofacultureofsafetywithinhealthcareorganizations.WorldHealthAssemblyresolution,May2002:QualityofCare:PatientSafety2021/8/134Da-YouWang,HuashanHospital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努力提高卫生行政部门管
8、理、统筹、协调医院工作的能力,提高对医院的指导、检查、评价、管理和监督能力。严防医疗事故,减少