Practice and Effect of Pharmaceutical Administration and Rational Drug Use Intervention of Key Monitored Drugs in Inner Mongolia People’s Hospital

YANG Qian; WANG Peng; GUO Xiaobin; SIRI Guleng; YANG Hongxin

doi:10.14009/j.issn.1672-2124.2021.09.022

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Practice and Effect of Pharmaceutical Administration and Rational Drug Use Intervention of Key Monitored Drugs in Inner Mongolia People’s Hospital

更新时间：2022-10-08

- Practice and Effect of Pharmaceutical Administration and Rational Drug Use Intervention of Key Monitored Drugs in Inner Mongolia People’s Hospital
- Vol. 21, Issue 9, Pages: 1114-1119(2021)
- 作者机构：
  
  内蒙古自治区人民医院药学处
- 作者简介：
- 基金信息：
- DOI：10.14009/j.issn.1672-2124.2021.09.022
  CLC： R95
- Published：2021，
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YANG Qian, WANG Peng, GUO Xiaobin, et al. Practice and Effect of Pharmaceutical Administration and Rational Drug Use Intervention of Key Monitored Drugs in Inner Mongolia People’s Hospital. [J]. 21(9):1114-1119(2021)
DOI：

YANG Qian, WANG Peng, GUO Xiaobin, et al. Practice and Effect of Pharmaceutical Administration and Rational Drug Use Intervention of Key Monitored Drugs in Inner Mongolia People’s Hospital. [J]. 21(9):1114-1119(2021) DOI： 10.14009/j.issn.1672-2124.2021.09.022.

摘要

目的:评价并探索对重点监控药品的药事管理和合理用药干预措施。方法:2019年

内蒙古自治区人民医院(以下简称"我院")针对重点监控药品实施了临床应用管理措施。采用回顾性研究方法

抽取干预前(2018年7—12月)、干预后(2019年7—12月和2020年7—12月)我院重点监控目录内药品的相关使用数据

以药物利用评价和药物使用合理性情况为评价指标

对比干预前后重点监控药品的总体使用情况和合理性。结果:与干预前比较

干预后我院重点监控药品的销售金额及其占药品总销售金额的比例、用药频度以及药占比均呈降低趋势;限定日费用变化较大的药品为曲克芦丁脑蛋白水解物注射液和骨肽注射液;20种重点监控药品中

16种药品的药品销售金额排序/用药频度排序的比值接近0.5～1.5。干预后(2019年7—12月)

重点监控药品不合理使用率呈现逐月降低趋势。结论:通过药事管理和合理用药干预

我院重点监控药品的销售金额明显降低

不合理使用情况明显改善

提示管控措施促进了重点监控药品的临床合理应用。

Abstract

OBJECTIVE: To evaluate and explore the intervention measures for pharmaceutical administration and rational drug use of key monitored drugs. METHODS: In 2019

the Inner Mongolia People’s Hospital（ hereinafter referred to as “our hospital ”） implemented clinical application management measures for key monitored drugs.Retrospective analysis was used to extract relevant data of drugs in the key monitored catalogue of our hospital before intervention（ from Jul. to Dec. 2018） and after intervention（ from Jul. to Dec. 2019 and from Jul. to Dec. 2020）. The drug utilization evaluation and rationality of drug use were set as the evaluation indicators

the overall use and rationality of drugs were monitored before and after intervention. RESULTS: Compared with before intervention

the consumption sum of key monitored drugs in our hospital and the proportion in total consumption sum

medication frequency and drug proportion showed the decreasing trend after intervention. Drugs with large changes in defined daily cost were respectively troxerutin cerebroprotein hydrolysate injection and osteopeptide injection. Among 20 key monitored drugs

the ratio of drug consumption sum ranking/medication frequency ranking of 16 drugs was from 0. 5 to 1. 5. The incidence of irrationality decreased month by month after intervention（ from Jul. to Dec. 2019）.CONCLUSIONS: Through pharmaceutical administration and intervention measures of rational drug use

the consumption sum of drugs decrease significantly

and the irrational drug use has been significantly improved

which promote the reasonable use of key monitored drugs.

关键词

重点监控药品药事管理干预药物利用评价合理用药

Keywords

Key monitored drugsPharmaceutical administrationInterventionDrug utilization evaluationRational drug use

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