摘要
目的:开展对辅助用药使用的检查与管理,以期促进临床合理用药,同时为尽快建立统一、规范的辅助用药临床合理使用管理机制提供参考依据。方法:依据《医院处方点评管理规范》相关标准和中南大学湘雅医院初步制定的医院辅助用药临床应用管理办法,由医务部、药学部牵头对2015-2016年每月金额排名前三,用量增长速度过快的辅助用药开展抽样检查,并将检查结果反馈到相关管理部门,将不合理用药上报到医院管理例会并在《医讯》上通报,对存在严重不合理用药的科室与医师参照医院《抗菌药物临床合理使用奖惩办法》予以考核。结果:对辅助用药使用的检查与管理,可降低药占比,控制病人的人均费用并促进临床合理用药。结论:加强医院对辅助用药的检查与管理并形成有效监督,对促进安全、有效、经济、合理用药意义重大;建立统一、规范的辅助用药临床合理使用管理机制势在必行。
Objective：To examine and manage the utilization of adjuvant drugs,in order to promote rational use of drugs,and also to provide reference for the establishment of unified and standardized management mechanism for rational use of adjuvant drugs.Methods：According to＂Hospital Prescription Review Management Specifications＂and Clinical Utilization Management Methods for adjuvant drugs initially established by Xiangya Hospital of Central South University,sample investigation of adjuvant drugs which ranked top 3 consumption sums or with rapid growth of amount from 2015 to 2016 was sponsored by Medical Department and Department of Pharmacy of the hospital.The results of the examination was fed back to the related management department and the irrational use of drugs was reported at regular meetings of the hospital and put on the Bulletin of Medical News.Departments and doctors with serious irrational use of the drugs were evaluated by＂Reward and punishment methods of clinical rational use of antibacterials＂.Results：The examination and management of adjuvant drugs utilization could decrease the proportion of drug application,control average medical costs,and above all,promote clinical rational use of drugs.Conclusion：Intensified examination,effective management and monitoring of adjuvant drugs were of great significance to the promotion of safe,effective,economic and rational use of drugs.Establishment of a unified,standardized management mechanism concerning rational use of adjuvant drugs was imperative.
出处
《药学服务与研究》
CAS
2017年第5期363-365,共3页
Pharmaceutical Care and Research
关键词
辅助用药
合理用药
用药管理
adjuvant drugs
rational use of drugs
management of drug use
