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强化药事管理对促进临床合理用药的效果分析

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目的 探讨强化药事管理对促进临床合理用药的效果。方法 600 例患者的 600 张处方,随机分为对照组和观察组,每组 300 例(300 张)。对照组使用常规药事管理,观察组使用强化药事管理。比较两组用药及住院各指标,处方不合格率,药物安全事件,药师工作质量评分,患者用药满意度。结果 观察组抗菌药物使用种类、抗菌药物使用费用、治疗时间、治疗费用分别为(1。23±0。54)个、(221。36±83。29)元、(7。02±2。58)d、(1012。97±352。15)元,均少于对照组的(2。42±0。61)个、(583。24±126。72)元、(12。31±3。87)d、(3084。75±847。62)元(P<0。05)。观察组处方不合格率 2。00%明显低于对照组的 17。33%(P<0。05)。观察组总不良反应发生率 1。33%低于对照组的 7。67%(P<0。05)。观察组服务态度、药学知识、处方审核、实践操作评分分别为(9。54±0。27)、(9。46±0。33)、(9。51±0。30)、(9。50±0。32)分,均明显高于对照组的(8。12±0。56)、(8。03±0。62)、(8。07±0。58)、(8。04±0。53)分(P<0。05)。观察组用药满意度99。00%明显高于对照组的78。33%(P<0。05)。结论 强化药事管理对促进临床合理用药的效果显著,能显著减少抗菌药物使用数量,减少处方不合格情况,降低治疗费用,缩短治疗时间,提高用药安全性,并有效提高药师工作质量,提升患者的用药满意度。
Effect analysis of strengthening pharmaceutical affairs management on promoting clinical rational drug use
Objective To explore the effect of strengthening pharmaceutical affairs management on promoting clinical rational drug use.Methods A total of 600 patients(600 prescriptions)were randomly divided into a control group and an observation group,with 300 patients(300 prescriptions)in each group.The control group was treated with conventional pharmaceutical affairs management,while the observation group was treated with enhanced pharmaceutical affairs management.The medication and inpatient indicators,prescription failure rate,drug safety incidents,pharmacist's work quality score and medication satisfaction of the two groups were compared.Results The types of antibacterial drugs used,the cost of antibacterial drugs used,the treatment duration and the treatment cost in the observation group were(1.23±0.54),(221.36±83.29)yuan,(7.02±2.58)d and(1012.97±352.15)yuan,which were less than(2.42±0.61),(583.24±126.72)yuan,(12.31±3.87)d and(3084.75±847.62)yuan in the control group(P<0.05).The prescription failure rate was 2.00%in the observation group,which was significantly lower than 17.33%in the control group(P<0.05).The total incidence of adverse reactions in the observation group was 1.33%,which was lower than 7.67%in the control group(P<0.05).The scores of service attitude,pharmaceutical knowledge,prescription review,and practical operation in the observation group were(9.54±0.27),(9.46±0.33),(9.51±0.30)and(9.50±0.32)points,which were significantly higher than(8.12±0.56),(8.03±0.62),(8.07±0.58)and(8.04±0.53)points in the control group(P<0.05).The medication satisfaction rate of 99.0%in the observation group was significantly higher than 78.33%in the control group(P<0.05).Conclusion Strengthening pharmaceutical affairs management has significant effect on promoting clinical rational drug use.It can significantly reduce the number of antimicrobial agents used,reduce the prescription failure,reduce the treatment cost and shorten the treatment time,improve the medication safety,and effectively improve the quality of pharmacists'work and enhance patients'medication satisfaction.

Strengthening pharmaceutical affairs managementClinical rational drug useEffectQuality of pharmacists'work

梅松竹、金磊

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748400 岷县人民医院

强化药事管理 临床合理用药 效果 药师工作质量

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(5)
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