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中国药物评价 ›› 2025, Vol. 42 ›› Issue (6): 416-416-420.doi: magtech-2025-04-14-00004

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医院不良事件风险监测技术规范构建与实证研究

玄怡1, 郑冬雁2, 王哲3, 牛惠芳1, 杨建卫1, 赵玉娟1*   

  1. 1.山东省药品不良反应监测中心, 山东 济南 250014;
    2.淄博市药物警戒中心, 山东 淄博 255000;
    3.淄博市临淄区人民医院, 山东 淄博 255400
  • 收稿日期:2025-04-14 接受日期:2026-01-07 出版日期:2025-12-28 发布日期:2026-01-07
  • 基金资助:
    中国药品监督管理研究会立项课题(2024-Y-Q-010)

Study on the Construction of Technical Specifications for Risk Monitoring of Adverse Events in Hospitals

XUAN Yi1, ZHENG Dongyan2, WANG Zhe3, NIU Huifang1,YANG Jianwei1, ZHAO Yujuan1*   

  1. 1.Shandong Center for ADR Monitoring, Shandong Jinan 250014, China;
    2.Zibo Municipal Center for Pharmacovigilance, Shandong Zibo 255000, China;
    3.People′s Hospital of Linzi District of Zibo, Shandong Zibo 255400, China
  • Received:2025-04-14 Accepted:2026-01-07 Online:2025-12-28 Published:2026-01-07
  • Supported by:
    医疗机构医疗器械不良事件风险信号报告规范研究(2024-Y-Q-010)

摘要: 本研究立足于医疗器械全生命周期监管需求,从规范化视角系统阐述构建医疗器械不良事件风险信号监测体系的核心价值。针对医院在不良事件风险信号调查、分析与报告环节存在的认知与意识不高、风险监测体系建设滞后及法规依据不足与操作性欠缺的问题,遵循科学、全面、实用、动态的设计原则,构建包含7个维度13项内容的技术规范框架。技术规范实施试点结果表明,该技术规范使医院风险管理效能显著提升,建议深化技术规范普适性研究,形成可推广的解决方案,为医疗器械上市后安全监管提供技术治理新工具。

关键词: font-size:medium, ">医疗器械警戒;不良事件;风险信号;技术规范

Abstract: This study is based on the regulatory needs of the whole life cycle of medical devices, and systematically elaborates the core value of constructing the risk signal monitoring system of medical device adverse events from the perspective of standardisation. It addresses the problems of low awareness and consciousness, lagging behind in the construction of risk monitoring system, insufficient regulatory basis and lack of operability in the investigation, analysis and reporting of risk signals of adverse events in hospitals. Following the design principles of science, comprehensiveness, practicality and dynamics, the technical specification framework is constructed with 7 dimensions and 13 items. The results of the pilot implementation of the technical specification show that the effectiveness of risk management in hospitals has been significantly improved, and it is suggested to deepen the research on the universality of the technical specification, form a scalable solution, and provide a new tool for the technical governance of the post-market safety supervision of medical devices.

Key words: font-size:medium, ">Medical device vigilance;Adverse event;Risk signalling;Technical specification

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