摘要
目的分析基于临床用药监管工作中平台开展宣传教育与管理对不合理用药干预效果。方法对基层临床用药的监管工作进行筛查,找出不合理用药的主要问题,通过医务处以及药剂科的质量监控管理部分进行确认之后,实施宣传教育与管理相结合的干预方法。结果通过实施不合理用药干预,抗菌药物指标、处方点评以及医嘱不合理用药次数等全部得到显著改善,处方合格率从原来的90.12%升到97.82%,不规范处方从原来的7.0%降低到1.70%,抗菌药物正确使用率由原来的77.28%升到84.39%,无指征预防用药在原来的20.03%降低到10.29%,实施干预前以及后比较,差异有统计学意义(P<0.05)。结论实施宣传教育与管理相结合的干预模式显著优于不实施干预以及单纯宣传教育干预模式,通过基层临床用药监管工作平台与干预模式相结合,能够显著的提高临床合理用药情况。
Objective To study the intervention of irrational drug use and the intervention effect of clinical medication in the su-pervision work. Methods On the base of clinical supervision for screening, the main problems of irrational use of drugs, after con-firmation by the quality control management of medical and pharmacy intervention methods, education and management of promo-tion combination. Results Through the implementation of the irrational drug use intervention, antibacterial drugs, prescription and prescription indicators of irrational drug use frequency were significantly improved, from the original 90.12%prescription qualified rate rises to 97.82%, does not regulate prescription was reduced from 7%to 1.70%, the correct rate of antibacterial drugs by origi-nal 77.28%rise to 84.39%, no indications of preventive medicine in the original 20.03%reduced to 10.29%, and after the imple-mentation of intervention before there was a significant difference（P〈0.05）, with statistical significance. Conclusion The interven-tion model is significantly superior to the education and management of promotion combination of not intervening and pure propa-ganda education intervention model, through a combination of clinical medication monitoring platform and intervention, can signifi-cantly improve the clinical rational use of drugs.
出处
《中国卫生产业》
2015年第10期61-62,共2页
China Health Industry
关键词
不合理用药
基层临床用药监管
宣传教育
The irrational drug use
Basic medicine supervision
Publicity and education
