某院2018年-2019年16种重点监控药品临床使用情况分析  

Analysis on Clinical Medication of 16 Kinds of Key Monitoring Drugs in a Hospital From 2018 to 2019

作　　者：陈庆状 梁美芳 肖晓丹 CHEN Qing-zhuang;LIANG Mei-fang;XIAO Xiao-dan(Guangzhou Hospital of Integrated Traditional Chinese and West Medicine,Guangzhou 510800,China)

机构地区：[1]广州市中西医结合医院,广州510800

出　　处：《抗感染药学》2021年第4期494-499,共6页Anti-infection Pharmacy

基　　金：广东省中医药局“十三五”中医重点,特色专科建设项目(编号:粤中医函[2019]472号)。

摘　　要：目的:分析医院重点监控药品临床使用的合理性,探究管控措施的成效,为进一步完善监管措施及提高合理用药提供参考。方法:分别收集医院管控前后(2018年和2019年)16种重点监控药品的使用数据,并结合药物利用指数(DUI)及ABC法(帕累托原则)比较与评价其管控前后重点监控药品使用的合理性。结果:16种重点监控药品的使用实施监控后,其药品使用金额明显下降,用药合理性得到显著改善。结论:采用ABC法与DUI这2种方法,可有效评价重点监控药品管控效果的合理性,且有助于提高监管效率,遏制了该类药品不合理使用现象。Objective: To analyze the rationality of the clinical medication of key monitoring drugs in hospitals and to explore the effectiveness of control measures, and to provides reference for further improving supervision measures and rational drug use. Methods: The data of 16 kinds of key monitored drugs before and after the hospital control(2018 and 2019) were collected, and the rationality of the medication of key monitored drugs before and after the hospital control was compared and evaluated by drug utilization index(DUI) and ABC method(Pareto principle). Results: After the implementation of monitoring on the usage of 16 kinds of key monitored drugs, the amount of drug usage decreased significantly, and the rationality of drug usage was significantly improved. Conclusion: The ABC method and DUI method could effectively evaluate the rationality of the regulatory efficiency of key monitoring drugs, and helped to improve the efficiency of supervision and control, and curbed the irrational medication of such drugs.

关 键 词：重点监控药品 帕累托原则 药物利用指数 药物限定日剂量 

分 类 号：R969.3[医药卫生—药理学]