对卫生部抗菌药物临床应用监测网病历用药合理性评价标准探讨

Study on the Evaluation Criterion for the Drug Use Rationality of Medical Cases from Antimicrobial Clinical Application Monitoring Network of the Ministry of Health

目的探讨卫生部抗菌药物临床应用监测网病历用药合理性评价意见(纸质)表的评价标准。方法依据《抗菌药物临床应用指导原则》和《卫生部办公厅关于抗菌药物临床应用管理有关问题的通知》(卫办医政发[2009]38号)的相关规定,结合抗菌药物在临床使用的实际情况,参考相关法规、文件、指南,对意见表中的评价项目进行解释。结果经过对评价标准相关问题的探讨,有助于卫生部抗菌药物临床应用监测网各成员单位对意见表评价标准的理解,使各单位评价结果更加趋于一致。结论探讨评价标准有助于降低评价结果偏差,使评价过程更加规范化和标准化。

Objective To discuss the criteria for the evaluation of rational antibiotic drug use in medical cases （ paper edition） of the antimicrobial agent clinical application monitoring network administered by The Ministry of Health. Methods Based on the relevant provisions from The guiding principles for clinical applications of antibacterial drugs and ＂The notice by the General Office of the Ministry of Health on related questions of clinical-application management of antibacterial drugs＂ （the General Office of the Ministry of Health [ 2009 ] NO. 38）, combined with the actual situations of antibacterial drugs in clinical use, relevant laws, regulations, and guidances, the evaluation items in the feedback form were studied. Results The study, to a certain extent, contributed to the understanding of evaluation criteria on antimicrobial agent use in clinical application monitoring network of The Ministry of Health for monitoring net members by investigating related questions regarding the evaluation criteria, and will make the evaluation resuhs more consistent. Conclusion The discussion of the evaluation criteria can reduce the deviation of the evaluation results and make the evaluation process more standardized.