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合理用药监管体系管控第二批重点监控药品的效果分析

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目的 探讨合理用药监管体系管控第二批重点监控药品的效果。方法 数据来源于医院信息系统(HIS),收集合理用药体系监管实施前2022年9月-2023年8月我院第二批重点监控药品34个品规的使用情况数据为管理前;之后应用合理用药监管体系管控,监管实施后2023年9月-2024年8月我院第二批重点监控药品34个品规的使用情况数据为管理后。分析管理前后重点监控药品使用金额占比、重点监控药品点评合格率。结果 管理后用药金额为384。1632万元,低于管理前515。5688万元,管理后用药占比为10。14%,低于管理前用药占比14。31%,差异有统计学意义(P<0。05)。抽查点评管理前后用药处方/医嘱各240张,记录点评合格率。管理后处方/医嘱合格229张,合格率为95。42%;管理前处方/医嘱合格201张,合格率为83。75%,管理后处方/医嘱合格率明显高于管理前,差异有统计学意义(P<0。05,χ2=4。522)。管理前后不合格处方/医嘱中,营养神经与改善微循环类占比最高,分别是41。03%、45。45%。结论 合理用药监管体系管控第二批重点监控药品,可以有效提高处方/医嘱合格率,降低药品使用金额占比。
Effect analysis of the second batch of key monitored drugs controlled by rational drug use supervision system
Objective To explore the effect of rational drug use supervision system on the control of the second batch of key monitoring drugs.Methods The data were collected from the hospital Information System(HIS),and the use data of 34 product specifications of the second batch of key monitored drugs in our hospital were collected from September 2022 to August 2023 before the implementation of the rational drug use system supervision.After that,the rational drug use supervision system was applied to control and control,and the use data of 34 product specifications of the second batch of key monitored drugs in our hospital from September 2023 to August 2024 after the supervision was implemented.The proportion of the consumption amount of key monitored drugs and the qualification rate of key monitored drug reviews before and after management were analyzed.Results After management,the amount of medication was 3841.632 thousands yuan lower than that before management 5155.688 thousands yuan,and the proportion of medication after management was 10.14%lower than that before management 14.31%,with statistical significance(P<0.05).Random check of 240 prescriptions/medical orders before and after review management,record the qualified rate of review.After management,229 prescriptions/medical orders were qualified,the pass rate was 95.42%;before management,201 prescriptions/medical orders were qualified,and the pass rate was 83.75%.After management,the pass rate of prescriptions/medical orders was significantly higher than before management.The difference was statistically significant(P<0.05,χ2=4.522).Among the unqualified prescriptions/medical orders before and after management,the proportion of nutritional nerve and improving microcirculation was the highest,which were 41.03%and 45.45%,respectively.Conclusion The rational drug use supervision system can effectively improve the qualified rate of prescription/doctor's order and reduce the proportion of drug consumption.

Rational drug use supervision system controlThe second batch of key monitoring drugsRational drug use

劳慧琴、杨天明、郭志锋、黄少明

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广东省英德市中医院,广东 清远 513000

合理用药监管体系管控 第二批重点监控药品 合理用药

2025

首都食品与医药
《首都医药》杂志社

首都食品与医药

影响因子:0.389
ISSN:1005-8257
年,卷(期):2025.32(2)