应用GAPS法践行处方审核主导的医疗机构合理用药管理实践  

Prescription audit led rational drug use management in medical institutions by GAPS method

作　　者：李娟[1] 刘秀兰 李为 郭敏[1] 曾露[1] 何艳 郭洁茹 吴广杰 刘东[1] Li Juan;Liu Xiulan;Li Wei;Guo Min;Zeng Lu;He Yan;Guo Jieru;Wu Guangjie;Liu Dong(Department of Pharmacy,Tongji Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院药学部,武汉430030

出　　处：《中华医院管理杂志》2021年第10期831-837,共7页Chinese Journal of Hospital Administration

摘　　要：基于GAPS(goal、analyze、problem、solution)管理模型,作者分析处方审核实践中存在的问题及持续优化的策略,采用多学科合作(multi-disciplinary team,MDT)与循证实践助力处方审核持续优化,促进医疗机构合理用药管理。通过建立精准化管控流程,实现慢性病处方用量、围术期药物、特殊级抗菌药物和辅助用药的个性化管理。基于GAPS管理模式的处方审核实践,一方面提高处方审核的质量和效率,逐步提高处方合格率,加强临床使用干预,促进合理用药;另一方面体现药师专业价值,为患者提供更加优质的药学服务,逐步实现"提质、控费、增效"的处方审核模式。Based on the GAPS(goal,analyze,problem,solution)management model,the authors analyzed the problems existing in the practice of prescription audit and the strategies of continuous optimization.Multi-disciplinary team(MDT)and evidence-based practice were applied to help the continuous optimization of prescription audit practice and promote the rational drug use management of medical institutions.Through the establishment of accurate control process,the personalized management of prescription dosage of chronic diseases,perioperative drugs,special grade antibiotics and auxiliary drugs was realized.The practice of prescription audit based on the GAPS management model,on the one hand,could improve the quality and efficiency of prescription audit,gradually improve the qualified rate of prescription,strengthen clinical use intervention and promote rational drug use;On the other hand,it could reflect the value of pharmacists'professional technicians,provide patients with more high-quality pharmaceutical care,and gradually realize the prescription audit mode of"improving quality,controlling cost and increasing efficiency".

关 键 词：药学服务 处方审核 GAPS管理模型 多学科合作 循证实践 合理用药 

分 类 号：R969.3[医药卫生—药理学]