期刊文献+

点评、约谈、培训结合模式控制药占比下降的效果分析 被引量:3

The Effect of the Combinated Mode of Prescription Comment, Interviews and Training in Decreasing Drug Proportion
下载PDF
导出
摘要 目的探讨点评、约谈、培训结合模式对控制药占比的促进作用。方法每月选取药占比超标在前的1~2个临床科室,每科抽取20~30份出院病历,进行用药合理性点评;医院合理用药点评小组根据用药点评结果,约谈临床科室主任与诊疗组长,共同商定下一季度药占比控制目标;针对主要不合理用药现象,医院每半年组织一次针对性培训。结果共集中点评并约谈12个临床科室;针对性开展用药培训2次;干预前后3个月,药占比超标均值由(8.725±2.559)下降到(4.008±2.904),差异有统计学意义。干预期前后3个月,干预科室的药占比超标值下降,和未干预科室比较,差异有统计学意义。医院总的药占比也呈明显下降趋势。结论点评、约谈、培训结合模式能有效降低药占比,切实降低患者的医疗费用。 Objective To investigate the promotive functions of the combinated mode of prescription comment,interviews and training in drug proportion control.Methods One or two clinical departments which had the top superscale of drug proportion were selected and20to30medical records for each department were extracted to comment on rational drug use.According to the results of prescription comment,the review team of rational drug use had the interview with the clinical section directors and group leaders,and discussed control objectives of drug ratio for the next quarter.For the main irrational use of drugs,the hospital every six months to organize a targeted training.Results A total of12clinical departments were reviewed,and2training sessions were conducted;After a threemonth intervention,the mean superscale of drug proportion decreased from(8.725±2.559)to(4.008±2.904),with statistical significance.About3months before and after work,the proportion of drugs in the intervention departments was higher than that in the preparatory room,and the difference was statistically significant.The total of drug proportion of our hospital also showed a significant downward trend.Conclusion The combinated mode of prescription comment,interviews and training can effectively reduce drug proportion and medical expenses of patients.
作者 成宏伟 吕建峰 刘华 李爱萍 蒋智慧 CHENG Hongwei;LV Jianfeng;LIU Hua;LI Aiping;JIANG Zhihui(Pharmacy Department, Taixing People's Hospital, Taixing Jiangsu 225400, China)
出处 《中国卫生标准管理》 2017年第21期19-22,共4页 China Health Standard Management
关键词 点评 约谈 培训 药占比 成效 prescription comment interview training drug proportion effectiveness
  • 引文网络
  • 相关文献

参考文献6

二级参考文献56

  • 1梅全喜,高玉桥,胡世林.应理性对待含马兜铃酸类中药[J].中国药房,2006,17(7):554-556. 被引量:29
  • 2曹建华.中药注射剂临床使用安全性的探讨[J].中华中医药学刊,2007,25(10):2196-2197. 被引量:19
  • 3卫生部.医院管理评价指南(2008年版)[M].北京:中国法制出版社,2008:56-57.
  • 4卫生部办公厅.卫生部办公厅关于继续深入开展全国抗菌药物临床应用专项整治活动的通知[Z].卫办医政发[2012]32号.
  • 5Bardou M, Quenot JP, Barkun A. Stress-related mucosal disease in the critically ill patient [ J 1. Nat Rev Gastroenterol Hepatol, 2015, 12(2) :9$-107.
  • 6Quenot JP, Thiery N, Barbar S. When should stress ulcer prophylaxis be used in the ICU? [J]. Curr Opin Crit Care, 2009, 15(2) :139-143.
  • 7Cook DJ, Fuller HD, Guyatt GH, et al. Risk factors for gastrointestinal bleeding in critically ill patients. Canadian Critical Care Trials Group[J~. N Engl J Med, 1994, 330(6) :377-381.
  • 8Stollman N, Metz DC. Pathophysiology and prophylaxis of stress ulcer in intensive care unit patients [ J ]. J Crit Care, 2005, 20 (1) :35-45.
  • 9ASHP Therapeutic Guidelines on Stress Ulcer Prophylaxis. ASHP Commission on Therapeutics and approved by the ASHP Board of Directors on November 14, 1998 [ J]. Am J Health Syst Pharm, 1999, 56(4) :347-379.
  • 10Spirt M J, Stanley S. Update on stress ulcer prophylaxis in critically ill patients [ J ]. Crit Care Nurse, 2006, 26 ( 1 ) : 18-20, 22 -25.

共引文献339

同被引文献38

引证文献3

二级引证文献25

相关主题

;
使用帮助 返回顶部