省级药事质控中心在重点监控药品监管中的作用

发布时间：2018-01-31 05:05

本文关键词： 四川省药事质量控制中心重点监控药品管理制度辅助用药质子泵抑制剂中药注射剂监管作用　出处：《中国药房》2017年04期 　论文类型：期刊论文

【摘要】：目的:推动省级药事质量控制中心对重点监控药品的有效监管,促进合理用药。方法:介绍四川省药事质量控制中心二片区通过督促辖区医疗机构建立重点监控药品监管制度、制定3类重点监控药品处方点评指南、开展基线数据调查、现场督查医疗机构重点监控药品的实际使用情况等措施,发挥对3类重点监控药品[中药注射剂、辅助用药、质子泵抑制剂(PPIs)]使用的指导、督促作用;通过收集各分中心向省质控中心的工作报告,统计医疗机构建立监管制度的情况;通过随机抽样统计各分中心辖区医疗机构重点监控药品的合理使用率、使用量、使用金额等数据,对监管效果进行参考性评价。结果:截至2016年4月,92.26%的医疗机构知晓省卫计委的相关文件要求,84.25%已建立本院的监管制度;2016年3月已完成3类重点监控药品处方(医嘱)点评指南的制定;省内18家三级甲等综合医疗机构3类重点监控药品2016年5月不合理使用率与1月比较,中药注射剂下降12.35%(35.41%vs.47.76%)、辅助用药下降9.64%(20.95%vs.30.59%)、PPIs下降7.44%(40.49%vs.47.93%);2016年4月平均销售金额与1月比较,分别下降12.07%、13.30%、9.49%;55.02%的医疗机构已启动基线数据资料收集工作。结论:省级药事质量控制中心在重点监控药品管理制度的建设上可发挥重要作用,可指导和督促医疗机构建立监管制度,评估分析各级医疗机构监管情况,指出存在的问题,进而促进重点监控药品有效监管。
[Abstract]:Objective: to promote the effective supervision of key controlled drugs by provincial drug quality control center. Methods: by urging the medical institutions in Sichuan Province to establish the supervision and control system of the key controlled drugs, the author introduced three kinds of guidelines for the evaluation of the prescription of the controlled drugs. Carry out baseline data investigation, on-site supervision of medical institutions, monitoring of the actual use of drugs and other measures, give play to the three types of key monitoring drugs. [Traditional Chinese medicine injection, adjuvant drug, proton pump inhibitor (PPIsa)] the guidance of the use of the role of supervision; Through collecting the work reports of the sub-centers to the provincial quality control center, statistics on the establishment of supervision system in medical institutions; Through random sampling statistics of the medical institutions in each sub-center area to monitor the rational use of drugs, usage, use amount of data and other data, the regulatory effect of reference evaluation. Results: up to April 2016. 92.26% of the medical institutions know the relevant documents of the provincial health and family planning commission require that 84.25% have established their own supervision system; In March 2016, the guidelines for the evaluation of three major types of controlled drug prescriptions (doctor's orders) were completed. There were 18 Grade 3A comprehensive medical institutions in the province. The irrational utilization rate of 3 kinds of key controlled drugs in May 2016 was compared with that in January. The Chinese medicine injection dropped 12.35% and 35.41% vs.47.76%, and the auxiliary medicine dropped 9.64% 20.95vs.30.59). PPIs decreased 7.44 and 40.49, including vs.47.93; Compared with January, the average sales amount in April 2016 decreased by 12.07 and 13.30% respectively. 55.02% medical institutions have started baseline data collection. Conclusion: provincial drug quality control center can play an important role in the construction of key drug management system. It can guide and urge medical institutions to establish supervision system, evaluate and analyze the supervision of medical institutions at all levels, point out the existing problems, and then promote the effective supervision of key monitoring drugs.
【作者单位】：电子科技大学医学院;四川省医学科学院/四川省人民医院/电子科技大学附属医院/个体化药物治疗四川省重点实验室;
【分类号】：R95
【正文快照】： *硕士研究生。研究方向:临床药学。电话:028-87393436。E-mail:liuyi21223@sina.com2016年四川省卫生和计划生育委员会(以下简称卫计委)发布《关于建立医疗机构重点监控药品管理制度的通知》[1](以下简称《通知》),制定了《四川省重点监控学附属医院/个体化药物治疗四川省重点

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