临床用药的防火墙──逸曜合理用药管理系统  

Clinical medication firewall:Yi Yao rational medication management system

作　　者：王珍 张姝潇 江砚[2] 

机构地区：[1]浙江省丽水市妇幼保健院药剂科,浙江丽水323000 [2]杭州市第一人民医院中药房,浙江杭州310006

出　　处：《中国现代医生》2015年第19期133-135,139,共4页China Modern Doctor

基　　金：浙江省中医药科学研究基金项目(2014ZA126);浙江省中医药科技计划(2014ZB080)

摘　　要：目的应用合理用药管理系统,提高门诊处方质量、抗菌药物合理使用与临床合理用药,提升药学服务质量。方法对我院合理用药管理系统应用的介绍,结果进行回顾性分析并综合评价。结果我院合理用药管理系统实现了全处方点评,近一年每季度各级警示数百分率与前一季度相比较每个季度在逐渐递减(P<0.05),内科门诊、儿科门诊及乳腺科门诊抗菌药物的使用率及注射给药率较该系统使用前明显降低(P<0.05),妇保科、儿保科及体检中心抗菌药物的使用率及注射给药率较该系统使用前无明显降低(P>0.05),对各科室抗菌药物使用起到监测作用。结论通过应用合理用药系统以来,对医院的合理用药有促进作用,同时有利于提高药学服务水平。Objective To improve the quality of outpatient prescriptions, to guarantee the rational use of antibi-otics and clinical use of drugs and to enhance the quality of pharmacy services through medication management system. Methods The results from rational medication management system applied in our hospital were analyzed retrospectively and evaluated comprehensively. Results The rational medication management system applied in our hospital could make a full prescription review, and the warning percentage number at all levels for each quarter over the past year reduced gradually, compared with that of the previous quarter （P〈0.05）. The usage rate of an-tibiotics and injection rate in internal medicine, pediatric, breast and gynecological clinic were significantly lower than those before the application of the system （P〈0.05） and the usage rate of antibiotics and injection rate in department of gynecology care, child care clinic and medical examination center did not show any significant re-duction compared with those before the application of the system（P〉0.05）. The system played a monitoring role in the medication of antibiotics in all the departments. Conclusion The application of rational medication manage-ment system can promote the rational use of drugs in hospital and can help to improve pharmacy services.

关 键 词：合理用药管理系统 合理用药 用药分析 

分 类 号：R95[医药卫生—药学]