阳江市不同等级医院处方点评模式的研究

Pattern of prescription comment of different levels of hospital in yangjiang

目的：摸索出符合我市不同等级医院处方点评点评工作模式.方法：通过建立专门的实施机构,完善相关的工作制度和流程规程,建立临床药师制、合理用药质控和合理用药考评制三项制度,形成键全系统化、标准化、和持续改进的处方点评制度.结果：我市不同等级医院 逐步形成初有成效的处方点评模式,该模式在促进临床医生合理用药、保证患者用药安全、有效及降低患者医药费用负担等方面起了很大的作用,为医院医疗质量管理提供强有力的基础,保证医院能持续健康科学地发展.结论：该模式能最大限度地对医生不合理用药进行主动干预,有效地减少药物不良反应的发生,延缓耐药性的产生提供积极的作用.有效地减少医疗纠纷,提高医院合理用药水平,控制医院药品比、门诊处方费用和住院费用,为人类减少药物资源浪费提供科学决策,保证人民群众健康.

Objective： Explore the modes of prescription comment that meet different levels of hospitals in yangjiang city. Methods： To form Systematic, standardized, and continuous improvement system for prescription comment through the establishment of specialized institutions, improve the procedures related to work systems and processes, three systems of established system of clinical pharmacists, Rational use of drugs quality control and evaluation systems rational drug use. Results： Different levels of hospitals in our city form gradually an effective early model prescription comment, the model played a significant role in the promotion of rational drug clinicians to ensure patients with medication safe and effective and reduce the burden of medical costs of patients, the model provides a strong basis for quality management For hospital care and Ensure that hospitals can continue to develop. Con clusion： The model can the doctors take maximally the initiative to intervent irrational drug use, to reduce Effectively the incidence of adverse drug rcactions, to provide a positive role for delay drug resistance, to reduce effectively medical disputes, to improve a reasonable level of hospital medication, to Control the hospital medicines ratio, out-patient prescription costs and hospital costs, provide the scientific decision-making for reducing the waste of resources for human drugs, to ensure people＇s health.