我院实施“阳光用药制度”的成效调查

Investigation on the Achievement of“Sunshine Medication System”in Our Hospital

目的:为加强用药监督,促进我院临床合理用药提供参考。方法:我院于2010年8月正式成立了"阳光用药监控小组",通过引进的阳光用药网络监管平台的电子信息系统每月对单品种用药金额、临床用药、不合理处方、重点加强筛查的处方情况进行公示,并在全院推行"阳光用药制度",同时对公示内容中整改效果最明显的方面进行分析。结果:我院实施"阳光用药制度"后,抗菌药物单品种用药金额大于50元的占抗菌药物总用药金额比例由2010年7月的29.00%下降至2011年6月的12.69%;药占比由2010年8月的21.73%下降为2011年6月的18.35%,抗菌药物占比由24.91%下降为14.05%;门诊每张处方平均金额由2010年8月的52.29元下降至2011年6月的45.55元;2011年1-6月大金额处方比例从0.84%逐月下降至0.51%;不合理抗菌药物联用、中成药联用的现象减少;围手术期预防感染合理率提高。结论:我院实施"阳光用药制度"成效显著,促进了临床合理用药。

OBJECTIVE： To strengthen the supervision on medication and provide reference for promoting rational drug use in our hospital. METHODS： A ＂sunshine medication supervision group＂ was set up in our hospital in Aug. 2010. Sunshine medication supervision network platform was introduced to promulgate amount of single drug, clinical drug use, irrational prescription and key screening point every month. Sunshine medication system was promoted in hospital, and the promulgated contents which had great achievement were analyzed at the same time. RESULTS： After the implementation of ＂Sunshine Medication System＂ in our hospi- tal, the proportion of single drug above 50 yuan in total amount of antibiotics decreased from 29.00% in Jul. 2010 to 12.69% in Jun. 2011; drug ratio decreased from 21.73% in Aug. 2010 to 18.35% in Jun. 2011; proportion of antibiotics decreased from 24.91% to 14.05%; average amount of each outpatient prescription decreased from 52.29 yuan in Aug. 2010 to 45.55 yuan in Jun. 2011; proportion of large amount of prescription decreased from 0.84% to 0.51% by month. Phenomenon of unreasonable com- bined use of antibiotics and unreasonable combined use of Chinese patent medicine were reduced. Reasonability rate of infection pre- vention in perioperative period was improved. CONCLUSION： The implementation of ＂Sunshine Medication System＂ obtains sig- nificant achievement in our hospital and promotes rational drug use in the clinic.