医院重点监控药品管理的探索与实践

目的 通过合理用药管理系统,与行政干预相结合,加强对医院重点监控药品的管控,促进合理用药.方法 制定宁波市北仑区人民医院重点监控药品目录;基于合理用药管理系统,依据药品说明书和指南、共识等证据,对重点监控药品进行规则精细化设置;建立重点监控药品动态监测与预警制度,开展处方/医嘱专项点评,结合行政干预手段,对重点监控药品...

Exploration and Practice of Key Monitoring Drugs Management in Hospital

OBJECTIVE To strengthen the management and control of the key monitoring drugs and to promote the rational use of drugs in hospital through the management platform for rational drug and administrative intervention. METHODS Set up the key monitoring drug directory in the Ningbo Beilun People''s Hospital. Set up the rules of the key monitoring drugs in detail based on the rational drug use system according to the drug instructions, guidelines, consensus and other evidence. Establish a dynamic monitoring and early warning system for key monitoring auxiliary drugs, carry out special comments on prescriptions/medical orders, and manage key monitoring drugs combined with administrative intervention means. Statistical analyse rational rate of manual review, use intensity, use amount and drug proportion of the key monitoring drugs after the application of management platform for rational drug in the Ningbo Beilun People''s Hospital in each quarter to check the effectiveness of management platform for rational drug. RESULTS The management of key monitoring drugs was strengthened through setting the rules of rational drug use management system combined with administrative intervention. After the launch of management platform for rational drug, the irrational rate of the key monitoring drugs decreased from 34.2% in the fourth quarter of 2018 to 14.6% in the fourth quarter of 2019, the use intensity decreased from 101.4 to 74.7, and the proportion of the sales amount to the total drug amount decreased from 7.8% to 5.7%. CONCLUSION Strengthen the management and control of the key monitoring drugs through the management platform for rational drug can not only reduce the hospital drug expenditure, but also promote the rational use of drugs in hospital.