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SWOT分析法在抗菌药物全样本处方点评中的应用实践

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目的:探讨SWOT分析法应用于抗菌药物全样本处方点评中的实践效果.方法:利用电子处方系统,调取某院2021年1~12月全部抗菌药物处方5297张作为干预前组,实施常规处方点评.基于SWOT分析法,分析医院开展抗菌药物全样本处方点评工作的优势(S)、劣势(W)、机会(O)、威胁(T).依据SWOT分析结果制定改进处方合理性的优化措施.将2022年1~12月全部抗菌药物处方4657张作为干预后组,根据优化措施进行处方点评并持续改进.分析两组处方点评结果,并对改进后的效果进行评价.结果:干预后组抗菌药物不合理使用率明显低于干预前组(P<0.05),医师抗菌药物使用知识考核得分明显高于干预前组(P<0.05).结论:SWOT分析法用于抗菌药物处方点评工作中,可为抗菌药物规范化管理提供依据,促进抗菌药物临床合理使用,保障患者用药安全.
Application of SWOT Analysis in Full-Sample Prescription Comment on Antimicrobial Agents
Objective:To explore the practical effect of SWOT analysis in the full-sample prescription comment on antimicrobial agents.Methods:A total of 5297 antimicrobial prescriptions from January to December in 2021 were retrieved from the computerized physician order entry and included into the pre-intervention group,and the conventional prescription comment was carried out.Based on the SWOT model,the strengths(S),weaknesses(W),opportunities(O)and threats(T)of the full-sample prescription comment on antimicrobial agents in the hospital were analyzed.According to the results of SWOT analysis,the optimization measures to improve the rationality of prescription were drawn up.A total of 4657 antimicrobial prescriptions from January to December in 2022 were included into the post-intervention group,where optimization measures were implemented,and the prescriptions were reviewed and continuously improved.The prescription comment results for the two groups were analyzed,and the effect of the optimization measures was evaluated.Results:After SWOT analysis performed,the irrational rate of antimicrobial use was significantly lower than that before intervention(P<0.05),and the scores achieved in the assessment of physician's knowledge on the antimicrobial use were significantly higher than those before intervention(P<0.05).Conclusion:In the antimicrobial prescription comment,SWOT analysis can provide rationality for standardized management of antimicrobial agents,promote rational clinical use of antimicrobial agents and ensure medication safety among patients.

SWOT analysisantimicrobial agentsfull-sampleprescription commentmedication safety

魏红、高梅娟、王莉

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北京工业大学医院药剂科,北京 100124

SWOT分析法 抗菌药物 全样本 处方点评 用药安全

2024

中国合理用药探索
中国执业药师协会

中国合理用药探索

影响因子:0.62
ISSN:2096-3327
年,卷(期):2024.21(6)