WANG Yuan, XU Wei, CUI Yonghua, et al. Analysis of Effects of Comprehensive Intervention on the Clinical Application of National Key Monitoring Drugs[J]. 2020,20(6):729-733.
WANG Yuan, XU Wei, CUI Yonghua, et al. Analysis of Effects of Comprehensive Intervention on the Clinical Application of National Key Monitoring Drugs[J]. 2020,20(6):729-733. DOI: 10.14009/j.issn.1672-2124.2020.06.024.
综合干预国家重点监控药品临床应用的成效分析
摘要
目的:了解南通大学附属建湖医院(以下简称"该院")国家重点监控药品使用情况
为深化改进重点监控药品的临床应用提供参考。方法:该院运用考核、审核、点评及预警系列措施进行干预
并对干预前(2018年第4季度)和干预后(2019年第4季度)重点监控药品的销售金额、用药频度(defined daily dose system
OBJECTIVE: To investigate the clinical application of national key monitoring drugs in Jianhu Hospital Affiliated to Nantong University( hereinafter referred to as "the hospital")
so as to provide reference for further improving the clinical application of key monitoring drugs. METHODS: Interventions were performed in the hospital by using a series of assessment
audit
review and early warning measures. Statistical analysis was conducted on consumption sum
defined daily dose system( DDDs)
application rate and rationality
standardability of key monitoring drugs before intervention( the 4 th quarter of 2018) and after intervention( the 4 th quarter of 2019).RESULTS: After intervention
the proportion of consumption sum of key monitoring drugs to the total drugs decreased from 4. 38%( 2 025 737. 50 yuan/46 237 198. 20 yuan) before intervention to 2. 75%( 1 451 480. 20 yuan/52 795 033. 57 yuan) after intervention
DDDs decreased by 4 730. 5 year on year( 18 355. 0 before intervention and13 624. 5 after intervention)
among which drugs for promoting blood circulation and removing blood stasis showed the greatest decrease. The application rate of antibiotics in inpatients decreased from 25. 5%( 436/1 713) before intervention to 7. 2%( 154/2 152) after intervention. There was significant improvement in inappropriate indications
with the proportion decreased from 20. 4%( 89/436) before intervention 7. 1%( 11/154) after intervention.CONCLUSIONS: The comprehensive intervention measures of the hospital are feasible and effective
and can ensure the safety
effectiveness and economy of the clinical application of national key monitoring drugs.