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目的:通过建立合理用药三级监管体系,有效促进临床合理用药,控制药品费用增长,保障患者用药安全、有效、经济。方法:在某家大型公立医院,建立由合理用药软件提示、医院药师审核干预、专家点评、医院行政监管处罚四者有机结合共同组成的三级监管体系,对医院医嘱实施全程审核监管、即时干预。结果:2015年3月1日-5月1日共审核并修改2 728条不合医嘱,药品总消耗与去年同期相比下降5.9%、住院人均药品费用与去年同期相比下降5.5%。结论:合理用药三级监管体系有效监管了临床用药行为,保障了患者的用药安全,同时有效控制了医院药品费用的增长趋势。
OBJECTIVE: To establish a rational three-level regulatory system for drug use to effectively promote clinical rational drug use, control drug cost increase, and ensure drug safety, effectiveness and economy for patients. Methods: In a large-scale public hospital, a three-level supervision system consisting of the rational combination of drug use tips, hospital pharmacists review and intervention, expert comments and hospital administrative supervision and punishment was established. The whole system of supervision, immediate intervention . Results: From March 1 to May 1, 2015, a total of 2 728 uncooperative medical examinations were reviewed and amended. The total drug consumption decreased by 5.9% as compared with the same period of last year. The per capita cost of medicines decreased by 5.5% as compared with the same period of last year. Conclusion: The three-level supervision system of rational drug use effectively supervises the clinical drug use behavior, ensures the patient’s drug safety and effectively controls the increasing trend of hospital drug costs.