张婕斐++++扶玲++++薛梅++++高燕灵

摘 要 目的：验证“阳光”用药质控体系建设对提高医院合理用药水平的成效。方法：成立“阳光”用药监管小组、“阳光”用药工作小组及“阳光”用药质控小组三级质控体系，利用信息系统对全院单位时间内处方（医嘱）的用药情况及药品用量进行监管，并进行统计，对比2010年至2013年的处方点评工作量、处方合格率、全院抗菌药物使用率及使用强度。结果：2013年与2010年相比，处方点评合格率提升了近40个百分点，病例合格率上升了近20个百分点，住院患者抗菌药药物使用率下降了22个百分点，使用强度下降了45.3个百分点，门、急诊抗菌药物使用率分别下降了19、16.5个百分点。结论：“阳光”用药质控体系的建设大大改善了我院的处方点评效率、医院用药合理率与抗菌药使用情况，为医德医风的建设提供了帮助，对我院创建医院药品信息化管理新模式作出了较大的贡献。

关键词 “阳光”用药 “阳光”质控体系 药品信息化管理 处方点评

中图分类号：R197.32 文献标识码：C 文章编号：1006-1533（2014）15-0069-04

Construction of the quality control system for the medication in the sunlight

in a comprehensive hospital and the analysis of its effectiveness

ZHANG Jiefei， FU Ling， XUE Mei， GAO Yanling

（Huizhou Central People's Hospital， Guangdong Province， Huizhou 516001， China）

ABSTRACT Objective： To verify the influence of the construction of quality control system for the medication in the sunlight on rational use of drugs in a hospital. Methods： Three groups including medication oversight panels， working group and quality control group were established. Medications and medicine dosage of prescription （doctor ordered） in a unit interval were supervised and counted by information systems. The workload of prescription comment， the number of qualified prescriptions， the ratio and density for the use of antibacterial agents from 2010 to 2013 were compared. Results： The number of qualified prescriptions increased by 40%， rate of the qualified cases increased about 20%， the ratio and density for the use of antibacterial agents in hospitalized patients decreased by 22% and 45.3%， respectively， while they only decreased by 19% and 16.5% in outpatient and emergency patients， respectively. Conclusion： The efficiency of prescription comment， rational use of medicines and antibiotics were all improved through the construction of quality control system for the medication in the sunlight， which is of benefit to the construction of medical ethics and style and the establishment of new mode for information management of drugs in our hospital.

KEY WORDS medication in the sunlight； quality control system； information management of drugs； prescription comment

“阳光”用药是指通过计算机科学和现代网络通信技术及数据库技术，实现药品采购、医生开方用药、药品使用的规范化、数据化和网络化，对医生处方用药进行信息公开以及在线追踪监控，从而实现对医疗机构非常态化用药现象的及时发现、预警提示、评价分析、纠正改进的全过程，最大限度地对不合理用药进行及时干预，促进医务人员廉洁从业。

广东省卫生厅2010年出台了《广东省医疗机构阳光用药制度实施意见（试行）》。……