我院临时采购药品工作中药品量化评分表的应用与实践
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摘要
目的:规范医院临时采购药品的管理,为医院药事管理与药物治疗委员会(药事会)遴选药品提供参考依据。方法:我院临床药师根据药品的有效性、安全性、经济性等10个方面的药品属性,建立药品量化评分表,对2018年10月科室提交申请的15个临时采购药品按评分表细则进行评分,并将评价结果反馈给药事会待开会讨论;对按原有审批模式未采用药品量化评分表、2018年7-9月已获药事会开会讨论的20个临时采购药品进行回顾性评分,评价采用药品量化评分表后的前置性干预作用。结果:在15个临时采购药品中,评分低于60分的药品有2个,不合格率为13.3%,提示有2个药品可不需要上会讨论;在已上会讨论的20个临时采购药品中,评分低于60分的药品有9个,不合格率为45.0%,提示有9个药品可能浪费了药事会的工作。结论:通过药品量化评分表对临时采购药品进行评分,可起到一定程度的前置性干预作用。同时,该表亦可作为医院药品评价的相关参考依据,有助于优化医院用药目录,提高临床合理用药水平。
OBJECTIVE:To standardize the management of temporary drug purchase,and to provide reference for drug selection in Hospital Pharmaceutical Administration and Drug Treatment Committee(Pharmaceutical Association). METHODS:Clinical pharmacists set up drug quantitative scoring table according to the 10 attributes of drugs as effectiveness, safety,economy,etc. 15 temporary purchased drugs submitted by departments in Oct. 2018 were graded according to the rules of the scoring table,and the evaluation results were fed back to Pharmaceutical Association. A retrospective evaluation of 20 temporary purchased drugs which were discussed at the Pharmaceutical Association from Jul. to Sept. 2018 was made according to previous approval model without using drug quantitative scoring table. The effect of pre-intervention was evaluated after using drug quantitative scoring table. RESULTS:Among 15 temporary purchased drugs,2 of them scored below 60,and the unqualified rate was 13.3%. It suggested that 2 drugs could not be discussed at the meeting. Among 20 temporary purchased drugs that have been discussed at the meeting,9 of them scored below 60,with the unqualified rate of 45.0%,suggesting that 9 drugs may have wasted the workload of the Pharmaceutical Association. CONCLUSIONS:Drug quantitative scoring table can play a pre-intervention role in the scoring of temporary purchased drugs to a certain extent. At the same time,the table can also be used as a relevant reference for hospital drug evaluation. It is helpful to optimize hospital drug use list and improve the level of rational drug use in clinic.
OBJECTIVE:To standardize the management of temporary drug purchase,and to provide reference for drug selection in Hospital Pharmaceutical Administration and Drug Treatment Committee(Pharmaceutical Association). METHODS:Clinical pharmacists set up drug quantitative scoring table according to the 10 attributes of drugs as effectiveness, safety,economy,etc. 15 temporary purchased drugs submitted by departments in Oct. 2018 were graded according to the rules of the scoring table,and the evaluation results were fed back to Pharmaceutical Association. A retrospective evaluation of 20 temporary purchased drugs which were discussed at the Pharmaceutical Association from Jul. to Sept. 2018 was made according to previous approval model without using drug quantitative scoring table. The effect of pre-intervention was evaluated after using drug quantitative scoring table. RESULTS:Among 15 temporary purchased drugs,2 of them scored below 60,and the unqualified rate was 13.3%. It suggested that 2 drugs could not be discussed at the meeting. Among 20 temporary purchased drugs that have been discussed at the meeting,9 of them scored below 60,with the unqualified rate of 45.0%,suggesting that 9 drugs may have wasted the workload of the Pharmaceutical Association. CONCLUSIONS:Drug quantitative scoring table can play a pre-intervention role in the scoring of temporary purchased drugs to a certain extent. At the same time,the table can also be used as a relevant reference for hospital drug evaluation. It is helpful to optimize hospital drug use list and improve the level of rational drug use in clinic.
引文
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[8]刘英俊,吴惠珍,安静,等.在办公自动化系统中建立医院临时采购药品审批功能的实践[J].中国药房,2017,28(10):1372-1375.
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[11]万明.临床药师在临床合理用药中的作用分析[J].临床合理用药杂志,2017,10(22):27,30.
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[13]平杰,潘书权,王秀琴.医院新药引进流程中临床药师发挥的作用及其影响[J].中华全科医学,2014,12(11):1878-1879.
[14]于永红.重新定位基层医院药师在医院管理中的地位[J].中国基层医药,2012,19(16):2531-2532.
[15]吴颖坤,张健,沈烽,等.我院药品采购管理模块的改进与应用[J].中国药房,2016,27(22):3099-3101.
[2]王德志,梅丹,李大魁,等.国外处方集及处方集系统介绍[J].中国药房,2008,19(16):1209-1211.
[3]卫生部,国务院纠风办,发展改革委,等.关于印发医疗机构药品集中采购工作规范的通知[S].2010-07-07.
[4]孙荣国,贾晓蓉.抓好我国医院临时购药管理工作[J].卫生软科学,2013,27(3):158-159.
[5]余德松.医疗机构建立特需药品采购制度的意义[J].卫生软科学,2014,28(2):104-105.
[6]朱玉洁,葛卫红,梁毅.我国医疗机构新药引进管理相关文献分析[J].中国药房,2012,23(5):464-466.
[7]郭咸希,何文,刘刚,等.某院2015年临时购药情况调查[J].中国药师,2016,19(12):2298-2300.
[8]刘英俊,吴惠珍,安静,等.在办公自动化系统中建立医院临时采购药品审批功能的实践[J].中国药房,2017,28(10):1372-1375.
[9]李华,张朝利.运用循证药学原则完善医院新药引进工作[J].中国医药导报,2007,4(27):130-131.
[10]姚海,杨晓庆,黄益民,等.新药引进初评的量化探讨[J].中国药房,2006,17(2):107-108.
[11]万明.临床药师在临床合理用药中的作用分析[J].临床合理用药杂志,2017,10(22):27,30.
[12]HOLLOWAY K,GREEN T.Drug and therapeutics committees:a practical guide[M].Geneva,Switzerland:World Health Organization Department of Essential Drugs and Medicines Policy,2003:71-94.
[13]平杰,潘书权,王秀琴.医院新药引进流程中临床药师发挥的作用及其影响[J].中华全科医学,2014,12(11):1878-1879.
[14]于永红.重新定位基层医院药师在医院管理中的地位[J].中国基层医药,2012,19(16):2531-2532.
[15]吴颖坤,张健,沈烽,等.我院药品采购管理模块的改进与应用[J].中国药房,2016,27(22):3099-3101.