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基于医院信息技术抗菌药物使用强度管理实践探讨

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目的 加强抗菌药物应用管理及干预,信息精准控制抗菌药物使用强度,全面促进抗菌药物临床合理使用.方法 制订抗菌药物使用强度管控计划甘特图,先后开展限定日剂量、全面规避出院带药、用量转按医嘱抓取、特殊使用级双审批、超标科室点评限量、联用干预和疗程提醒系列措施,强化AUD科学精准管控.结果 2021 年6~12 月抗菌药物使用强度(29.02±3.19),较去年同期(37.07±1.99)下降明显,差异具有统计学意义(P<0.01);其中,特殊使用级抗菌药物使用频度2021 年6~12 月(3472.00),较去年同期(5720.71)降幅达39.31%.结论 通过制订项目甘特图,基于医院信息系统,逐项落实干预措施,能够切实降低抗菌药物使用强度,保障患者用药安全、有效与经济.
Discussion on the Management of Antimicrobial Use Intensity Based on Hospital Information Technology
OBJECTIVE Strengthen the application management and intervention of antibiotics,accurately con-trol the use intensity of antibiotics,and comprehensively promote the rational clinical use of antibiotics.METHODS The control plan for the intensity of antimicrobial use had been formulated,and a series of measures of limited daily dose,comprehensive avoidance of discharge medication,transfer of dosage according to medical advice,double ap-proval,excessive department comment limit,joint intervention and treatment course reminder were carried out to strengthen the scientific and precise control of AUD.RESULTS The intensity of antimicrobial use from June to De-cember 2021(29.02±3.19)decreased significantly as compared to the same period last year(37.07±1.99),with a statistically significant difference(P<0.01);the frequency of special use grade antimicrobial use during June to December 2021(3472.00),a decrease of 39.31%compared with the same period last year(5720.71).CONCLUSION Through the formulation of the project Gantt map,based on the hospital information system,the in-tervention measures are implemented item by item,which can effectively reduce the intensity of antimicrobial use and ensure the safety,effectiveness and economy of patients.

AntibacterialsUsage intensityInformation technologyManagement practice

王永、陆康生、祁春雷、刘婷婷、胡霞

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建湖县人民医院,药学部,江苏建湖 224700

建湖县人民医院,院部,江苏建湖 224700

建湖县人民医院,信息部,江苏建湖 224700

抗菌药物 使用强度 信息技术 管理实践

2024

海峡药学
中国药学会福建分会

海峡药学

影响因子:0.643
ISSN:1006-3765
年,卷(期):2024.36(4)
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