综合医院评审中发现的药事管理相关问题与改进探讨

Problem Lies in Pharmaceutical Administration Discovered in the Evaluation of General Hospitals and Its Improvement

目的:为提高二级综合性医院药事管理水平提供参考。方法:按《贵州省医院管理年评价指南(试行)实施细则》对本地区2家三级和6家二级综合性医院进行评审,分析药事管理存在的问题,探讨改进措施。结果与结论:二级综合性医院药事管理硬件建设基本达到要求,但管理水平相对偏低,在临床药学的开展、抗菌药物的合理使用及特殊药品的管理等方面与评价指南要求仍有相当差距。应加强内涵建设,规范管理,促进医院药事管理持续发展。

OBJECTIVE： To provide reference for the improvement of pharmaceutical administration in secondary general hospital. METHODS： The problem existing in the pharmaceutical administration in 2 tertiary and 6 secondary general hospitals were evaluated in accordance with the ＂Practice Regulations of Guizhou Hospital Management Year Evaluation Guidance （Trial）＂; and the measures for its improvement were put forward. RESULTS ＆ CONCLUSIONS： The hardware construc- tion for the pharmaceutical administration in secondary general hospital can meet the requirements basically, however, the management level is still low and there is long way to go before the management meeting the requirements of evaluation guid- ance in respect of the implementation of clinical pharmacy, rational use of antibacterials, and the management of special drugs. It is necessary to strengthen the connotation construction, standardize the management and promote the continued development of hospital pharmaceutical management.