多学科协作下的合理用药监管干预模式实践

Practice of Supervision and Intervention for Rational Use of Drugs with Multidisciplinary Collaboration

目的建立一种新的多学科协作用药监管干预模式,探索合理用药监管新方法。方法建立抗菌药物、中药注射剂和其他辅助用药的监管干预模式,根据合理用药调查和临床反馈进行合理用药干预,总结多学科协作用药监管干预的效果和体会。结果抗菌药物不合理使用明显下降,辅助用药比例明显下降,中药3种注射剂联用基本杜绝,医院合理用药情况有明显改进。结论多学科协作干预下合理用药监管模式促进了临床安全合理用药,推动了临床药事管理工作,规范了医师处方行为,全面提高了医疗质量。

OBJECTIVE To establish a new regulatory intervention mode with multidisciplinary collaboration for rational use of drug, and to explore a new method of rational use of drug supervision. METHODS A new model for rational use of drug with multidisciplinary collaboration has been established. Antibacterial drugs, traditional Chinese medicine injections and other assistant drug were investigated, feedback the problem in clinical, and evaluated the effects of the mode. The experience of regulatory intervention was also summarized. RESULTS Irrational use of antibiotics decreased, assistant drug ratio decreased significantly, Combined with three kinds of traditional Chinese medicine injections is seldom used, the rational use of drug in hospital are improved. CONCLUTION With the supervision of multidisciplinary collaboration, Promoted the clinical rational use of drug and the clinical pharmacy management, Specification for physician prescribing behavior, and to improve the quality of health care.