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我院临时采购药品工作中药品量化评分表的应用与实践
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| 篇名： | 我院临时采购药品工作中药品量化评分表的应用与实践 |
| TITLE： | |
| 摘要： | 目的：规范医院临时采购药品的管理，为医院药事管理与药物治疗委员会（药事会）遴选药品提供参考依据。方法：我院临床药师根据药品的有效性、安全性、经济性等10个方面的药品属性，建立药品量化评分表，对2018年10月科室提交申请的15个临时采购药品按评分表细则进行评分，并将评价结果反馈给药事会待开会讨论；对按原有审批模式未采用药品量化评分表、2018年7－9月已获药事会开会讨论的20个临时采购药品进行回顾性评分，评价采用药品量化评分表后的前置性干预作用。结果：在15个临时采购药品中，评分低于60分的药品有2个，不合格率为13.3％，提示有2个药品可不需要上会讨论；在已上会讨论的20个临时采购药品中，评分低于60分的药品有9个，不合格率为45.0％，提示有9个药品可能浪费了药事会的工作。结论：通过药品量化评分表对临时采购药品进行评分，可起到一定程度的前置性干预作用。同时，该表亦可作为医院药品评价的相关参考依据，有助于优化医院用药目录，提高临床合理用药水平。 |
| ABSTRACT： | OBJECTIVE： To standardize the management of temporary drug purchase， and to provide reference for drug selection in Hospital Pharmaceutical Administration and Drug Treatment Committee （Pharmaceutical Association）. METHODS： Clinical pharmacists set up drug quantitative scoring table according to the 10 attributes of drugs as effectiveness， safety， economy， etc. 15 temporary purchased drugs submitted by departments in Oct. 2018 were graded according to the rules of the scoring table， and the evaluation results were fed back to Pharmaceutical Association. A retrospective evaluation of 20 temporary purchased drugs which were discussed at the Pharmaceutical Association from Jul. to Sept. 2018 was made according to previous approval model without using drug quantitative scoring table. The effect of pre-intervention was evaluated after using drug quantitative scoring table. RESULTS： Among 15 temporary purchased drugs， 2 of them scored below 60， and the unqualified rate was 13.3％. It suggested that 2 drugs could not be discussed at the meeting. Among 20 temporary purchased drugs that have been discussed at the meeting， 9 of them scored below 60， with the unqualified rate of 45.0％， suggesting that 9 drugs may have wasted the workload of the Pharmaceutical Association. CONCLUSIONS： Drug quantitative scoring table can play a pre-intervention role in the scoring of temporary purchased drugs to a certain extent. At the same time， the table can also be used as a relevant reference for hospital drug evaluation. It is helpful to optimize hospital drug use list and improve the level of rational drug use in clinic. |
| 期刊： | 2019年第30卷第11期 |
| 作者： | 赵越，刘洪涛，薛朝军，任炳楠，白万军，董占军 |
| AUTHORS： | ZHAO Yue，LIU Hongtao，XUE Chaojun，REN Bingnan，BAI Wanjun，DONG Zhanjun |
| 关键字： | 药品量化评分表；临时采购；合理用药；规范管理 |
| KEYWORDS： | Drug quantitative scoring table； Temporary drug purchase； Rational drug use； Standardized management |
| 阅读数： | 516 次 |
| 本月下载数： | 22 次 |
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