| 肖珏,林银银.安徽省桐城市基层医疗机构药事管理质量控制现状分析[J].安徽医药,2022,26(9):1892-1896. |
| 安徽省桐城市基层医疗机构药事管理质量控制现状分析 |
| Analysis of the status quo of pharmaceutical management quality control in primary medical institutions in Tongcheng City, Anhui Province |
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| DOI：10.3969/j.issn.1009-6469.2022.09.046 |
| 中文关键词: 药事管理 医院，社区 基层医疗机构 质量控制 |
| 英文关键词: Pharmacy management Hospitals, community Primary medical institution Quality control |
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| 中文摘要: |
| 目的研究安徽省桐城市基层医疗机构药事管理现状，探讨药事管理工作提升方式。方法2022年4月，基于对安徽省桐城市药事管理质量控制中心辖属25家基层医疗机构的现场调查，围绕药事管理人员配备、处方点评、处方审核、药库管理、麻醉药品和精神药品使用和管理、抗菌药物管理、重点监控药品使用和管理、国家基本药物供应和保障政策执行情况8个方面进行评分，比较公立医院和私立医院总体得分合格率。结果25家基层医疗机构药库管理基本达标。具体而言，药学专业技术人员配备达标率、处方点评合格率、麻醉药品和精神药品管理合格率分别为56.00%、12.00%和33.30%；处方审核均为人工审核，抗菌药物管理未建立健全相应制度；分别有17家和25家机构未统计抗菌药物使用率和未提供重点监控药品相关管理制度及各医疗机构重点监控药品目录。国家基本药物供应保障方面，18家公立基层医疗机构中6家在采购金额占比项目达标得分1.50分，8家在采购数量占比项目同比增加或持平得分1.50分，其余4家暂未完成不得分。公立医疗机构总体得分合格率显著高于私立医疗机构(88.90%比42.90%，P=0.032)。结论安徽省桐城市基层医疗机构药学专业技术人员配备、处方点评、处方审核、麻醉药品和精神药品管理、重点监控药品管理均存在不足现象，应增加药学专业技术人员配备，加强处方点评及处方审核管理，积极开展培训提升药学专业技术人员专业技能，建立健全相关管理制度、规范药事管理行为，完善药事管理质量控制。 |
| 英文摘要: |
| Objective To study the current situation of pharmaceutical management in primary medical institutions in Tongcheng City, Anhui Province, and explore ways to improve pharmaceutical management.Methods In April 2022, on the basis of an on-site investigation of 25 primary medical institutions under the jurisdiction of Tongcheng Pharmacy Management Quality Control Center of Anhui Province, scores are graded based on 8 aspects of pharmaceutical management, such as pharmacy management staffing, prescription comment, prescription review, drug store management, use and management of narcotic drugs and psychotropic drugs, management of antibacterial drugs, use and management of key monitoring drugs, and implementation of national essential drug supply and guarantee policies, compare the overall score pass rate of public hospitals and private hospitals.Results The management of drug storehouses in 25 primary medical institutions basically reached the standard. Specifically, the compliance rate of pharmacy professional and technical personnel, the pass rate of prescription review, and the pass rate of narcotic and psychotropic drugs are 56.00%, 12.00%, and 33.30%, respectively; all prescriptions are reviewed manually, and the management system of antibiotics has not been established or improved; 17 and 25 institutions did not count the usage rate of antimicrobials and did not provide the relevant management system for key monitoring drugs and the list of key monitoring drugs for each medical institution. In terms of national essential drug supply guarantees,6 of the 18 public primary medical institutions scored 1.50 points in the project of the proportion of procurement amount, 8 scored 1.50 points in the project of the proportion of procurement amount increased or remained the same, and the remaining 4 had not yet completed. The overall score pass rate of public medical institutions was significantly higher than that of private medical institutions(88.90% vs. 42.90%, P = 0.032).Conclusions There are deficiencies in the staffing of pharmacy professionals, prescription comments,prescription reviews, management of narcotic drugs and psychotropic drugs, and management of key monitoring drugs in primary medical institutions in Tongcheng City, Anhui Province. It is necessary to increase the staffing of pharmacy professional and technical personnel, strengthen the management of prescription comments and reviews, actively carry out training to improve the professional skills of pharmacy professional and technical personnel, establish and improve relevant management systems, standardize pharmaceuti-cal management behaviors, and improve the quality control of pharmaceutical management. |
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