三级综合医院抗菌药物综合管理体系

Integrated Management System for Antibiotics Relying on Rule Builder in Tertiary General Hospital

关键词:  医院信息系统  合理用药  抗菌药物  管理体系

Key words:  HIS  rational drug use  antibacterials  management system

摘要:

目的 探索一种科学、客观、高效的抗菌药物合理使用综合管理体系，加强笔者所在医院抗菌药物的管理，进一步促进临床合理用药。方法 依托医院信息系统(HIS)数据资源和Rule Builder开发工具，依据《医疗机构合理用药指标》的计算方法，研发一套抗菌药物综合管理体系，对应用抗菌药物综合管理体系前后医院抗菌药物使用率、使用强度(AUD)、抗菌药物使用费用占药品费用百分率和抗菌药物使用合理率进行比较。结果 在应用抗菌药物综合管理体系前抗菌药物使用率和使用费占药品费用百分率分别为59.26%和18.13%；应用后分别下降到51.53%和15.41%，差异均有统计学意义(P<0.01)；抗菌药物使用强度(AUD)也与应用抗菌药物综合管理体系前相比，下降了14%；抗菌药物使用合理率由81.07%上升到93.13%，差异具有统计学意义(χ²=21.18，P<0.000 1)。结论 应用依托Rule Builder构建的抗菌药物综合管理体系，可有效提高全院抗菌药物使用的管理质量与统计效率，进一步促进抗菌药物的合理应用。

Abstract:

OBJECTIVE To explore a scientific, objective, efficient hospital integrated management system for the rational use of antibiotics. To enhance antimicrobial management of our hospital, further promote effectively rational use of drugs. METHODS Research and develop a set of antimicrobial drugs integrated management system, relying on HIS date and Rule Builder, based on calculate methods of rational drug use indicators of medical institutions, to compare before and after the application of antibiotics, AUD, the use of antimicrobial agents fees accounted for the percentage of drug costs and antibacterial drug use reasonable rate of using integrated management system of antimicrobial drugs. RESULTS The utilization rate of antibiotics and the reasonable rate of antimicrobial drugs were 59.26% and 18.13% respectively before using the integrated management system, then after using the system the rate were 51.53% and 15.41%(P<0.01). And the AUD declined by 14%. The reasonable rate of antimicrobial drugs increased from 81.07% to 93.13% (χ²=21.18，P<0.000 1). CONCLUSION Carrying on integrated management system of antimicrobial drugs relying on Rule Builder can improve the quality of management and statistical efficiency of the hospital-wide use of antibacterial drugs, then promote the rational application of antibacterial drugs.