我院基本药物使用风险防控体系的构建与实施

发布时间：2018-04-13 12:18

本文选题：医院 + 基本药物使用风险防控体系　；参考：《中国药房》2017年12期

【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 the rational use of essential drugs.Methods: according to the actual situation of our hospital, the system of prevention and control of essential drug use risk was constructed based on system and information.Results: the implementation of this system made the whole hospital medical staff to the rational, economic, safe use of essential drugs has a greater awareness of the ideological understanding, clinical use of essential drugs behavior has been standardized, the use of essential drugs is becoming more and more normal.Reasonable.After the implementation of the risk prevention and control system for the use of essential drugs,48.47; 104 warnings of all kinds,The punishment for irrational use of drugs was 23 person-times, and the prescriptions were standardized and the rationality of drug use was gradually improved.Conclusion: the construction of risk prevention and control system for essential drug use is one of the keys to the success of medical reform.We should make full use of the means of "system technology", establish a long-term mechanism of risk prevention and control, and constantly improve the system in practice.
【作者单位】：上海健康医学院附属第六人民医院东院/上海市第六人民医院东院;
【基金】：上海健康医学院种子基金项目(No.HMSF-16-11-012)
【分类号】：R95

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