Objective: Assess the monitoring, surveillance and reporting ADR at Bach Mai Hospital. ADR events were collected and classified by: patient age, drug administration route, drug classification, clinical manifestation, affected organs and ADR consequences; Study subjects: the ADR reports, ADR records and medical records of units in Bach Mai Hospital between 2006-2011; Methods: Retrospective study on the ADR reports and medical records. Results and conclusions: Monitoring, surveillance and reporting of ADRs have become regular activities at Bach Mai Hospital. In the period 2006-2011, ADRs were reported by all the units in the hospital with a total number of 2887 ADR reports, accounting for 0.5 percent of the medical records; and the proportion in the number of ADR reports from the Center of Allerology and Clinical Immunology was highest (15.62 percent), follwed by the Center of Nuclear Medicine and Oncology (6.51 percent). ADR occurs in all age groups with the highest percentage was in the age of 40-60 (24.35 percent). ADR encountered in all routes of administration. Among them, ADRs were most encountered by 3 routes as following: oral administration (35.89 percent), followed by intravenous injectiom (34.74 percent) and intravenous infusion (15.86 percent); All the drug groups can cause ADR and the highest ADR ratio encountered in antibiotic group (48.35 percent). Among antibiotics, betalactam drugs accounted for highest percentage (53.87 percent), followed by quinolon (16.32 percent) and amilosid drugs (11.17 percent). Followed antibiotic group in term of ADR was NSAID (16.7 percent). All the organs can be affected by ADR; Among them, the most common ADR disorders were occured in the skin and subcutaneous tissue (59.58 percent, following is disorders in the whole body in general (13.2 percent). Most of the ADRs recovered completely (83.48 percent), however there was 6 death from ADRs, accounting for 0.21 percent of ADR treatment record.
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