医院精细化合理用药管理实践与探索

Practice and exploration of fine and rational drug use management in hospital

在医药卫生体制改革深入推进的背景下,探索精细化合理用药管理的措施,加强合理用药,十分有必要。医院通过充分发挥药事管理与药物治疗学委员会管理职能、制定全院药事绩效考核指标体系、坚持处方医嘱审核及点评及处方前置审核、持续开展药品动态监测、实施标准化路径式的抗菌药物管理等措施,实施精细化合理用药管理。精细化合理用药管理前后次均药品费用、处方不合格率、辅助用药金额及抗菌药物相关指标均明显改善,提示精细化药事管理能够促进全院药品合理使用,推动医院药师工作转型,控制药品费用不合理增长。

Under the background of deepening the medical and health system reform,it is necessary to explore the measures of fine and rational drug use management and strengthen the rational drug use.Through giving full play to the management functions of pharmacy administration and pharmacotherapeutics committee,formulating the performance evaluation index system of pharmacy affairs in the hospital,adhering to the prescription doctor′s advice review and prescription pre audit,continuing to carry out drug dynamic monitoring,implementing standardized-path antimicrobial drug management,the hospital implemented refined and rational drug use management.Before and after the management,the average drug cost,prescription unqualified rate,auxiliary drug amount and antibacterial drugs related indicators were significantly improved,suggesting that fine pharmacy management could promote the rational use of drugs in the whole hospital,promote the transformation of pharmacists′work,and control the unreasonable growth of drug costs.