医联体模式下转诊住院儿童抗菌药物用药安全分析-中国药房.PDFVIP

医联体模式下转诊住院儿童抗菌药物用药安全分析 1＊ 1 2 3 王小慧 ，潘智明 ，徐碧林 ，王宪安 （1.浙江松阳县中医医院西药房，浙江松阳 323400；2.浙江松阳县中医医 院康复科，浙江松阳 323400；3.镇江市第二人民医院内科，江苏镇江 212000） 中图分类号 R978.1；R969.3 文献标志码 A 文章编号 1001-0408（2015）26-3646-03 DOI 10.6039/j.issn.1001-0408.2015.26.13 摘 要 目的：为单机构和跨机构抗菌药物的安全应用提供参考。方法：参考文献构建抗菌药物用药安全评价指标体系，采用病 历追踪法获取医联体模式下下呼吸道感染性疾病儿童的病历资料，并进行病历配对和专家评判，对单机构抗菌药物用药安全和跨 机构抗菌药物用药安全衔接情况进行分析。结果：共获得有效配对病历248例。医联体大医院抗菌药物联合使用率为86.29％， 2 2 高于社区医疗机构的77.02％（χ ＝5.49，P ＜0.05）；大医院儿童抗菌药物使用错误率为14.52％，低于社区医疗机构的25.81％（χ ＝ 9.733，P ＜0.05）；转诊住院儿童在前后医疗机构间的抗菌药物用药矛盾较多，各类抗菌药物风险用药情况共发生128例，总体发生 率为51.61％。结论：医联体模式下单机构住院儿童抗菌药物用药安全堪忧，转诊住院儿童抗菌药物用药衔接安全性低。 关键词 医联体；转诊住院儿童；抗菌药物；用药安全 Analysis of the Safety of Antibiotic Drug Use by Children Being Referred and Hospitalized under Medical Consortium Model 1 1 2 3 WANG Xiao-hui ，PAN Zhi-ming ，XU Bi-lin ，WANG Xian-an （1.Western Medicine Pharmacy ，Zhejiang Song- yang County Hospital of TCM ，Zhejiang Songyang 323400，China ；2.Dept. of Rehabilitation ，Zhejiang Song- yang County Hospital of TCM ，Zhejiang Songyang 323400，China ；3. Dept. of Internal Medicine ，the 2nd Peo- ple ’s Hospital of Zhengjiang ，Jiangsu Zhengjiang 212000，China ） ABSTRACT OBJECTIVE ：To provide reference for safe application of antibiotic drugs in single or inter-medical institution ser- vices. METHODS ：An antibiotic drug safety evaluation index system was established by reference to literatures. Medical records tracing method was adopted to obtain the medical records of children with respiratory infectious diseases under the medical consor- tium model. The medical records were matched and evaluated by experts to analysis the safety of antibiotic drug use