| 孙政进,李求亮.基于卫生健康监督信息平台的宣城市 2019—2023年医疗机构药品使用及处方管理监督检查情况分析[J].安徽医药,2025,29(8):1691-1696. |
| 基于卫生健康监督信息平台的宣城市 2019—2023年医疗机构药品使用及处方管理监督检查情况分析 |
| Analysis of the supervision and inspection of drug use and prescription management in medical institutions in Xuancheng City from 2019 to 2023 based the health supervision information platform |
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| DOI：10.3969/j.issn.1009-6469.2025.08.043 |
| 中文关键词: 卫生信息管理 药剂学管理 信息平台 医疗机构 药品使用 处方管理 检查 分析 |
| 英文关键词: Health information management Pharmacy administration Information platform Medical institutions Drugs use Prescription management Inspection Analysis |
| 基金项目:国家中医药管理局中医药法制化建设项目(国中医药法监函〔2020〕170号) |
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| 中文摘要: |
| 目的了解宣城市各级各类医疗机构麻醉药品和精神药品、抗菌药物、终止妊娠药品、医疗用毒性药品、疫苗等五类药品(以下简称“五类药品”)使用及处方管理情况，为规范医疗机构药品使用及处方管理提供参考。方法通过国家卫生健康监督信息平台，采集该市各级卫生健康监督机构 2019—2023年对辖区医疗机构药品使用及处方管理执法监督检查结果信息，对医疗机构五类药品使用及处方管理执法监督检查情况进行回顾性统计分析。结果该市各级卫生健康监督机构每年对辖区医疗机构多次开展五类药品和处方管理监督执法检查，但开展麻醉药品和精神药品、抗菌药物等专项监督检查较少。 2019—2023年，该市查处医疗机构五类药品使用及处方管理违法行为卫生行政处罚案件共 86件，其中涉及麻醉药品和精神药品 2.33%(2/ 86)、抗菌药物件 62.79%(54/86)、终止妊娠药品 2.33%(2/86)、处方管理 32.55%(28/86)。民营医疗机构、基层医疗机构、非中医医疗机构存在问题较突出，安全隐患较大。结论监管部门应进一步完善监管机制，加强医疗机构五类药品使用和处方管理督查与指导。医疗机构应强化人才培养、推进信息化和医联体建设，提升药品使用和处方管理水平，确保临床合理使用药品。 |
| 英文摘要: |
| Objective To understand the use of five kinds of drugs, including narcotic drugs and psychotropic drugs, antimicrobialagents, pregnancy termination drugs, medical toxic drugs and vaccines(hereinafter referred to as" five kinds of drugs"), and prescriptionmanagement in various levels and types of medical institutions in Xuancheng City, and to provide reference for standardizing the use ofdrugs and prescription management in medical institutions.Methods Based on the National Health Supervision Information Platform,the information on the supervision and inspection results of drugs use and prescription management in medical institutions reported byhealth inspection agencies in this city from 2019 to 2023 was collected, the results of the supervision and inspection of five kinds ofdrugs use and prescription management in medical institutions were analyzed retrospectively.Results Health supervision agencies inthis city conducted multiple the supervision and inspections of five kinds of drugs and prescription management on medical institutionsin their jurisdiction every year. However, there were few special supervision and inspections for the narcotic drugs, psychotropic drugs,antimicrobial agents. From 2019 to 2023, there were 86 cases of health administrative penalties for illegal activities, which were use of five kinds of drugs and prescription management in medical institutions in this city, among them, 2.33% (2/86) involved anestheticsand psychotropic drugs, 62.79% (54/86) involved antibiotics, 2.33% (2/86) involved termination of pregnancy drugs, and 32.55% (28/86) involved prescription management. Private medical institutions, primary medical institutions, and non-traditional Chinese medical institutions had more problems and larger security risk.Conclusions Supervisory departments should further improve their regulatorymechanisms, strengthen the supervision and guidance of five kinds of drugs use and prescription management in medical institutions.Medical institutions should take some effective measures as strengthening personnel training, promoting the construction of informationsystem and medical alliance, increasing the level of drugs use and prescription management, so as to guarantee the clinical rational useof drugs. |
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