處方點(diǎn)評在抗菌藥物臨床應(yīng)用中的干預(yù)作用
發(fā)布時間:2018-06-26 19:26
本文選題:處方點(diǎn)評 + 抗菌藥物。 參考:《中華醫(yī)院感染學(xué)雜志》2015年18期
【摘要】:目的通過處方點(diǎn)評對臨床使用抗菌藥物進(jìn)行干預(yù),使臨床更加合理應(yīng)用抗菌藥物。方法從2012年1月起強(qiáng)化處方點(diǎn)評及干預(yù)工作,由臨床藥師、主診醫(yī)師、醫(yī)院領(lǐng)導(dǎo)、院外專家4個層面開展抗菌藥物處方點(diǎn)評,按點(diǎn)評意見落實(shí)獎懲措施;采用SPSS13.0軟件進(jìn)行統(tǒng)計(jì)分析。結(jié)果經(jīng)過強(qiáng)化處方點(diǎn)評,門診、急診、住院部、Ⅰ類切口抗菌藥物使用率從24.52%、45.33%、68.17%、86.74%下降至19.15%、34.78%、57.61%、39.58%;抗菌藥物使用金額比從19.47%下降至15.36%;抗菌藥物使用強(qiáng)度從95.07DDD/100人/d,下降至60.51DDD/100人/d;差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論處方點(diǎn)評是臨床合理使用抗菌藥物的有效干預(yù)工具,降低了抗菌藥物使用率、使用金額比和使用強(qiáng)度,減輕了患者經(jīng)濟(jì)負(fù)擔(dān),提升了醫(yī)院藥事管理與藥物治療內(nèi)涵質(zhì)量。
[Abstract]:Objective to improve the clinical use of antimicrobial drugs by prescription evaluation. Methods from January 2012, the prescription evaluation and intervention were strengthened, and the antimicrobial prescription evaluation was carried out by clinical pharmacists, attending physicians, hospital leaders and experts outside hospital, and the measures of reward and punishment were carried out according to the comments. SPSS 13.0 software was used for statistical analysis. Results after intensive prescription review, outpatient, emergency and hospital departments, The rate of use of antimicrobial drugs in class 鈪,
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