中国药房2016，Vol.27Issue(3)：328-331,4.DOI:10.6039/j.issn.1001-0408.2016.03.15
我院合理用药管理指标体系的建立及应用
Establishment and Application of Rational Drug Use Management Indicator System in Our Hospital
马勇 1贺建军 1杨成虎 1胥敏 1文陆林 1杨绪1
作者信息
- 1. 四川省射洪县人民医院,四川射洪 629200
- 折叠
摘要
Abstract
OBJECTIVE:To provide reference for improving the level of rational drug use in public hospitals at county level. METHODS:The relevant indicator data of rational drug use in our hospital was analyzed,and the relevant indicator data of the hos-pitals at county level around it was investigated and analyzed,a total of 36 parts of rational drug use management indicator system was established,including administrative management indicators,outpatient management indicators,hospital management indica-tors,and drug procurement management indicators,and it was constantly improved and optimized. Meanwhile,relevant indicator data of rational drug use from 2010 to 2014 was statistically analyzed to evaluate the effect of the effectiveness of the system. RE-SULTS:In the 5 years,the drug revenues accounted for revenue ratio(the ratio of drug)decreased by 10.3%;the use indicators of antibiotics in clinic showed gradual optimization,the proportion of outpatient antibiotic prescriptions decreased from 57.1% to 19.3%,the use rate of inpatient antibiotic decreased from 90.2% to 56.3%,the proportion of type I incision operation preventive use of antibiotics decreased from 94.6% to 28.6%,and the submission rate of microbiological sample of inpatients before they re-ceived the treatment of antibiotics increased from 8.4% to 32.7%;the proportion of essential medicines increased 25.5%,and pro-portion of use amount increased to 24.1%;the application of the system promoted the improvement of rational drug use and phar-macy management level in our hospital,and also helped the hospital successfully passed the national three class comprehensive hos-pital evaluation. CONCLUSIONS:The established rational drug use management indicator system is comprehensive and feasible, and can provide reference for strengthening rational drug use management and medical and health system decision in China.关键词
县级公立医院/合理用药/管理/指标/体系Key words
Public hospital at county level/Rational drug use/Management/Indicator/System分类
医药卫生引用本文复制引用
马勇,贺建军,杨成虎,胥敏,文陆林,杨绪..我院合理用药管理指标体系的建立及应用[J].中国药房,2016,27(3):328-331,4.
