我院基本药物使用风险防控体系的构建与实施
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篇名: 我院基本药物使用风险防控体系的构建与实施
TITLE:
摘要: 目的:为促进基本药物的合理使用提供参考。方法:结合我院实际情况,以制度为依据,以信息为支撑,构建基本药物使用风险防控体系,并加以实施。结果:该体系的实施,使得全院医务人员对合理、经济、安全使用基本药物的思想认识有了较大提升,临床使用基本药物的行为得到了规范,基本药物使用情况渐趋正常、合理。基本药物使用风险防控体系实施后,全院药占比从34.62%降至32.64%,住院药占比从33.02%降至27.89%;全院基药占比从31.22%升至43.34%,住院基药占比从23.46%升至39.17%;门诊抗菌药物处方比例从15.04%降至13.46%,住院抗菌药物使用率从62.11%降至48.47%;共计发出各类预警104次,处罚不合理用药人员23人次;处方的格式规范性和用药合理性得到逐步提高。结论:基本药物使用风险防控体系的构建是医改取得成功的关键之一。应充分运用“制度+技术”的手段,建立风险防控长效机制,并在实践中不断完善该体系。
ABSTRACT: OBJECTIVE: To provide reference for promoting rational use of essential medicines. METHODS: Combined with the actual situation of our hospital, a set of risk prevention and control system on essential medicine was constructed on the basis of relevant laws and regulations and support of information, and then implemented. RESULTS: The implementation of the system greatly promoted cognition of all medical staffs on reasonable, economical and safe use of essential drugs, standardized medication behavior and improved essential medicine use more reasonable. After the implementation of risk prevention and control system on essential medicines, medicine ratio of whole hospital decreased from 34.62% to 32.64%, inpatient medicine ratio decreased from 33.02% to 27.89%; essential medicine ratio of whole hospital rose from 31.22% to 43.34%, inpatient essential medicine ratio increased from 23.46% to 39.17%; the proportion of outpatient antibiotics prescriptions decreased from 15.04% to 13.46%, the utilization of inpatient antibiotics decreased from 62.11% to 48.47%. Various early warning were sent out 104 times in total, and 23 medical staff were punished due to irrational drug use. The prescription form and rationality of drug use were improved gradually. CONCLUSIONS: The construction of risk prevention and control system on essential medicine is one of the keys to the success of health care reform. It is suggested to make full use of the “system+technology” means, establish long-term mechanism for risk prevention and control, and constantly improve the system.
期刊: 2017年第28卷第12期
作者: 练鲁英,刘盈,李晖,李利娟,韩永龙,叶茂
AUTHORS: LIAN Luying,LIU Ying,LI Hui,LI Lijuan,HAN Yonglong,YE Mao
关键字: 医院;基本药物使用风险防控体系;构建;实施
KEYWORDS: Hospital; Risk prevention and control system on essential medicine; Construction; Implementation
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