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药品临床综合评价思维在医院药品临时采购管理中的应用实践
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| 篇名： | 药品临床综合评价思维在医院药品临时采购管理中的应用实践 |
| TITLE： | Application practice of drug clinical comprehensive evaluation thinking in management of temporary drug purchase in hospital |
| 摘要： | 目的 探索构建药品临时采购的科学化管理新模式，为医疗机构提升合理用药水平提供参考。方法我院以临床诊疗需求和患者用药安全为导向，通过优化审评流程、创建审评团队、基于药品临床综合评价制定事前审核及事后跟踪评价标准，开展临时采购药品全程化管理实践，并通过临时采购申请数量、执行率、药品目录结构优化情况等指标评价实践效果。结果2021年1月我院开始实施药品临时采购科学化管理新模式，截至2022年12月，我院临床药师共审核药品临时采购申请111份，有效拦截不合理申请13份（11.71%），药品临时采购执行率整体下降了8.36%，提出药品目录结构优化建议5次；我院先后引进了卡瑞利珠单抗、索拉非尼、白消安等24种药品。管理模式优化后，药品临时采购申请次数由2019年的133次和2020年的138次，减少到2021年的66次和2022年的45次，降幅达一半以上。结论该模式有助于优化医疗机构药品目录，提升合理用药水平，保障患者用药安全，充分体现了临床药师在医疗机构药事管理与合理用药中的专业价值。 |
| ABSTRACT： | OBJECTIVE To explore the construction of a new scientific management model for temporary drug purchase，and to provide a reference for hospitals to improve the level of rational drug use. METHODS Guided by clinical diagnosis and treatment needs and patient medication safety， our hospital carried out the whole process management practice of temporarily purchased drugs by optimizing the review process， creating a review team， formulating pre-audit and post follow-up evaluation standards based on comprehensive drug evaluation， and evaluated the practice effect through the number of temporary purchase applications， implementation rate， drug structure optimization and other indicators. RESULTS Since January 2021， our hospital had implemented a new mode of temporary drug purchase management. By December 2022， clinical pharmacists had reviewed 111 temporary drug procurement applications， effectively intercepted 13 irrational drug use applications （11.71%）， reduced the overall implementation rate of temporary drug procurement by 8.36%，and proposed five batches of drug structure optimization suggestions； 24 drugs were successively introduced such as camrelizumab，sorafenib，busulfan. After optimizing the management mode，the number of temporary drug procurement applications decreased by more than half from 133 in 2019 and 138 in 2020 to 66 in 2021 and 45 in 2022. CONCLUSIONS The model is helpful to optimize the hospital drug catalog， strengthen rational drug use，ensure the safety of patients’ drug use， and fully reflects the professional value of clinical pharmacists in hospital pharmacy management and rational drug use. |
| 期刊： | 2023年第34卷第10期 |
| 作者： | 杨雪；李晨；蔡永青；鲜秋婉；幸海燕 |
| AUTHORS： | YANG Xue，LI Chen，CAI Yongqing，XIAN Qiuwan，XING Haiyan |
| 关键字： | 药品临时采购；药品临床综合评价；目录优化；合理用药；临床药师 |
| KEYWORDS： | temporary drug purchase； comprehensive evaluation of drugs； catalog optimization； rational drug use； clinical |
| 阅读数： | 229 次 |
| 本月下载数： | 10 次 |
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