基层医疗机构药事管理与合理用药现状分析及应对

Grassroots Medical Institutions Status of Pharmacy Management and Rational Drug Use Analysis and Response

目的总结分析基层医疗机构药事管理及合理用药的现状,针对其中的问题提出应对措施。方法调查分析基层医疗机构中的药事管理制度、质量管理、调剂药品质量、抗菌药物管理以及特殊药物管理、合理用药情况。结果 22家基层医疗机构中18家医疗机构均无专门管理药事的组织,14家药事管理制度不完善,15家(68.18%)药品存储不合理,8家(36.36%)机构存在调剂不良情况,9家(40.91%)未按照要求建立抗菌药物管理制度,8家(36.36%)存在术后延长使用抗菌药物问题,5家(22.73%)存在药品不做药敏试验的问题,5家(22.73%)存在重复用药问题。12家(54.55%)存在精神药品与麻醉类药品管理混乱情况,3家(13.64%)存在药物应用与诊断结论不符合情况,13家(59.09%)抗菌药物应用不合理,3家(13.64%)药物使用过量。结论基层医院有必要制定出完善的药事管理制度,并积极采取措施提高药师的综合水平,确保临床用药的合理性。

Objective To summarize and analyze the status of pharmacy management and rational drug use in medical institutions at the grassroots, in view of the problems put forward measures to deal with. Methods The investigation and analysis of primary health care institutions in pharmacy management system, quality management, adjust the quality of drugs, antibacterial drug management and drug management, rational use of drugs. Results 22 primary medical institutions in 18 medical institutions had no specialized pharmacy administration organization, 14 pharmacy management system is not perfect, 15（68.18%） drug store is not reasonable, 8（36.36%） institutions adjust the adverse situation, nine（40.91%） not in accordance with the requirements of the Ministry of health to establish antibacterial drug management system, 8（36.4%） after the operation extend the use of antimicrobial drugs, 5（22.73%） are drug do drug sensitivity test, 5（22.73%） exists repeated drug use problems. 12（54.55%） in the presence of psychotropic drugs and narcotics management confusion, 3（13.64%） there is no compliance with the application of drugs and diagnosis,13（59.09%） of the irrational use of antimicrobial drugs, 3（13.64%）drug use. Conclusion Primary hospital necessary develop perfect pharmacy management system, and take active measures to improve the pharmacist comprehensive level to ensure the rationality of clinical medication.