评分制抗菌药物处方医嘱点评模式的建立与效果分析

发布时间：2018-06-01 04:42

本文选题：抗菌药物 + 评分制　；参考：《中国医院药学杂志》2015年04期

【摘要】：目的:探讨评分制抗菌药物处方医嘱专项点评的有效性,以建立抗菌药物处方医嘱点评的长效机制。方法:创建评分制处方点评表格及点评模式,采用此点评模式,对2011-2013年1-6月门诊处方共13 160张、急诊处方共3 340张,住院病历共2 541份进行点评,对抗菌药物使用率、使用强度、合理率、平均分进行对照研究。结果:从2012年实施评分制处方点评模式后,门诊、急诊处方和医嘱抗菌药物使用率分别从干预前33.3%,39.6%,61.1%降至18.3%,22.0%,39.7%;合理使用率分别从干预前79.2%,67.7%和55.0%提升到干预后的99.0%,96.1%和76.1%,使用强度从每百人天81 DDDs下降至37DDDs,处方平均分逐渐提高,同时评分制处方点评模式具有科学、客观性,可操作性强。结论:评分制抗菌药物处方专项点评模式的建立与实施,促进了抗菌药物合理使用,可作为抗菌药物临床应用管理的长效机制。
[Abstract]:Objective: to explore the effectiveness of special evaluation of prescriptions for antimicrobial drugs in order to establish a long-term mechanism for evaluation of prescriptions of antimicrobial agents. Methods: a scoring system prescription evaluation form and an evaluation model were established. 13 160 outpatient prescriptions and 3 340 emergency prescriptions were collected from January to June of 2011-2013, and 2 541 medical records were recorded. The utilization rate of antimicrobial agents was evaluated. The intensity of use, reasonable rate and average score were compared. Results: after the implementation of the scoring system prescription evaluation model in 2012, the outpatient service, The use rate of antibiotics in emergency prescriptions and doctors' orders decreased from 33.3% to 39.61.1% before intervention to 39.7% and 22.010% to 39.7% respectively, the rational use rate increased from 79.2% and 55.0% before and after intervention to 99.0% and 76.1% after intervention, and the intensity of use decreased from 81 DDDs per 100 person days to 37DDDs, and the average prescription scores gradually increased. At the same time, the scoring system prescription evaluation model is scientific, objective and operable. Conclusion: the establishment and implementation of the special evaluation model of scoring antimicrobial prescription promotes the rational use of antimicrobial agents and can be used as a long-term mechanism for the management of antimicrobial clinical application.
【作者单位】：长沙市第一医院临床药学室;
【分类号】：R978

【参考文献】