阳光用药电子监测系统在县级公立医院临床应用的探讨.docVIP

阳光用药电子监测系统在县级公立医院临床应用的探讨 　　[摘要] 目的 探讨阳光用药电子监测系统在县级公立医院中的应用。 方法 本院于2014年6月成立“阳光用药监控小组”，并建立阳光用药电子监测系统，通过该系统每月对抗生素用药金额在全院总用药金额中所占的比例（抗生素占比）、全院药品总收入在全院总收入中所占的比例（药占比）、昂贵抗生素（单价50元）在抗生素总金额中的所占比、大额处方（200元）在所有处方中所占的比例（大额处方占比）进行统计并公示。 结果 应用阳光用药电子监测系统后，本院抗生素占比和药占比分别由2014年6月的24.8%和38.8%降低至2015年7月的15.2%和34.8%。本院昂贵抗生素用药金额在抗生素总金额中的所占比由2014年6月的31.62%逐步降低至2015年7月的14.33%，全院各月大金额处方比例从1.34%逐月下降至0.43%，全院门诊处方平均金额从61.9元逐月下降至50.4元。 结论 本院应用阳光用药电子监测系统成效显著，减少了临床不合理用药情况。 　　[关键词] 阳光用药制度；阳光用药电子监测系统；合理用药；成效 　　[中图分类号] R197.38 [文献标识码] A [文章编号] 1674-4721（2016）05（c）-0140-04 　　Exploration on the clinical application of the sunshine medicine electronic monitoring system in the county-level public hospital 　　KUANG Pei-xia 　　Department of Pharmacy，People′s Hospital of Xinxing County in Guangdong Province，Xinxing 527400，China 　　[Abstract] ObJective To explore the application of the sunshine medicine electronic monitoring system in the public hospitals at the county level. Methods The sunshine medicine control group and the sunshine medicine electronic monitoring system were established in the hospital in June 2014.The proportion of monthly consumption sum of antibiotics in the hospital in the total consumption sum of medication （the proportion of antibiotics），the proportion of total medicine income in the total income of the hospital （the proportion of medicine），the proportion of consumption sum of expensive antibiotics （unit price more than 50 yuan） in the total amount of antibiotics，the proportion of large prescription （more than 200 yuan） in all the prescriptions （the proportion of large prescriptions） were calculated and publicized. Results After application of the sunshine medicine electronic monitoring system in the hospital，the proportion of antibiotics and the proportion of medicine decreased from 24.8% and 38.8% in June 2014 to 15.2% and 34.8% in July 2015 respectively.The proportion of consumption sum of expensive antibiotics in the total amount of antibiotics decreased month by month