期刊文献+

基于用药信息评价的综合管理体系运行效果评估 被引量:4

Performance Assessment of Integrated Management System on Drug Information Evaluation
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摘要 目的:构建医院用药信息综合评价管理体系,促进合理用药指标达标。方法:在医院药品信息管理系统中,设置药品使用属性分类,包括抗菌药物、专科治疗用药及基础用药、辅助用药;根据基线调查结果,设定6项合理用药指标,量化分配到各专科;定期生成用药信息报表,对指标不达标科室的用药问题进行综合干预。结果:2011-2014年,医院药占比、抗菌药占比、辅助用药金额比率各项指标呈现整体下降趋势,抗菌药物合理使用指标逐步达标。结论:用药信息评价的综合管理体系有助于合理用药整体达标,减少药品滥用,促进临床药学学科的发展。 Objective: To establish a comprehensive evaluation and management system with respect to nosocomial drug information, so as to improve the rational drug use. Methods: The usage group of drugs in hospital information system was classified, including antibiotics, therapeutic and fundamental drug, and adjuvant drug. 6 rational drug use indicators for all clinical departments were set up according to baseline survey. Report forms were generated at regular intevals, and comprehensive interventions were carried out at the departments with low standard. Results: From 2011 to 2014, indicators of drug income ratio, antibiotics consumption sum ratio and adjuvant drugs consumption sum ratio tended to a descending trend overall, and indicators of the antibiotic rational use reached the standard gradatim. Conclusion: The integrated management system based on medication information evaluation was helpful for the improvement of rational drug use, so as to promote sustainable development of clinical pharmacy.
出处 《中国药事》 CAS 2016年第2期201-204,共4页 Chinese Pharmaceutical Affairs
基金 东莞市科技计划项目(编号201210515000425)
关键词 临床药学 合理用药 临床药师 药品信息管理系统 clinical pharmacy rational drug use clinical pharmacist medication information management system
作者简介 作者简介:林颖,副主任药师;研究方向:临床药学、医院药事管理;Tel:(0769)28636365;E—mail:A20130803@163.com
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参考文献14

  • 1周国强,韩晟.基于ARIMA模型的中国医院药品费用增长趋势分析[J].药品评价,2014,11(14):15-19. 被引量:4
  • 2卫生部.卫办医管发[2011]148号三级综合医院评审标准实施细则[S],2011.
  • 3卫生部.卫办医政发[2011]56号关于做好全国抗菌药物临床应用专项整治活动的通知[S].2011.
  • 4卫生部.卫办医政发[2011]103号全国医疗卫生系统"三好一满意"活动2011年工作任务分解量化指标[S],2011.
  • 5卫生部.卫医管发[2010]28号关于印发《医院处方点评管理规范(试行)》的通知[S],2010.
  • 6Bratzler DW, Dellinger EP, Olsen KM, et al. ClinicalPractice Guidelines for Antimicrobial Prophylaxis in Surgery[J]. Am J Health-Syst Pharm, 2013, 70 ( 3 ) : 195-283.
  • 7Stevens DL, Bisno AL, Chambers HF, et al. Practice Guidelines for the Diagnosis and Management of Skin and Soft Tissue Infections: 2014 Update by the Infectious Diseases Society of America[J]. Clin Infect Dis, 2014, 59 (2) : 147-189.
  • 8Lipsky BA, Berendt AR, Cornia PB, et al. 2012 Infectious Diseases Society of America Clinical Practice Guideline for the Diagnosis and Treatment of Diabetic Foot Infections[J]. Clin Infect Dis, 2012, 54 ( 12 ) : 132-173.
  • 9Nicolle LE, Bradley S, Colgan R, et al. Infectious Diseases Society of America Guidelines for the Diagnosis and Treatment of Asymptomatic Bacteriuria in Adults[J]. Clin Infect Dis, 2005, 40 (5) : 643-654.
  • 10关于印发《药品未注册用法专家共识》的通知[J].今日药学,2010,20(4):1-3. 被引量:150

二级参考文献42

  • 1张波,李大魁,杨晓.药品说明书之外的用法的若干问题及对策[J].中华风湿病学杂志,2004,8(8):451-453. 被引量:40
  • 2王玉梅,陈云红,平安.回归分析在药品费用预测中的应用[J].中国药房,1994,5(4):21-22. 被引量:1
  • 3卫生部.医院管理评价指南(2008年版)[M].北京:中国法制出版社,2008:56-57.
  • 4Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing-2004[-J. Am J Health Syst Pharm, 2005, 62 (4) : 378.
  • 5Detlit TH, Owens RC, McGowan JE, et al. hffectious Diseases Soci- ety of America and the Society for Heahheare Epidemkdogy of Ameri- ca guidelines for developing an institutional program to enhance anti- microbial stewardship [ J ]. Clinical hCectious Diseases, 2007, 44 (2) : 159-177.
  • 6Allerberger F, Gareis R, Jindr(lk V, et al. Antibiotic stewardship im- plementation in the EU: the way forward[ J ]. Expert Review of Anti-infective Therapy, 2009, 7( 10): 1175-1183.
  • 7Department of Health ARHAI. Antimicrobial stewardship:start'smart- then fneus [ EB/OL ]. http ://www. gov. uk/gtwernment/uploads/sys- tem/ uploads/ attaeh ment_ data/ file /215 309 / dh _ 131185. pdf , 2011- 11-17/2013-08-02.
  • 8Tseng SH, Lee CM, Lin TY, et al. Combating antimicrobial resist- ance: Antimicrobial stewardship program in Taiwan [ J ]. Journal of Microbiology, Immunology and Infection, 2012,45 ( 2 ) :79 -89.
  • 9Ashiru-Oredope D, Sharland M, Charani E, et al. Improving the quality of antibiotic prescribing in the NHS by developing a new Anti- microbial Stewardship Programme: Start Smart-Then Focus[ J]. Jour- nal of Antimicrobial Chemotherapy, 2012, 67 ( suppl 1 ) : i51 -i63.
  • 10Drew RH, White R, MacDougall C, et al. Insights from the Society of Infectious Diseases Pharmacists on Antimicrobial Stewardship Guidelines from the Infectious Diseases Society of America and the Society for Heaithcare Epidemiology of America[ J]. Pharmacothera- w, 2009, 29(5) : 593-607.

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