文章摘要
孙晓娈,邢 园,计 成,李 歆.江苏三级医院抗菌药物管理调查[J].南京医科大学学报(社会科学版),2018,(6):469~473
江苏三级医院抗菌药物管理调查
Investigation on antimicrobial management in the tertiary hospitals of Jiangsu Province
投稿时间:2018-05-29  
DOI:10.7655/NYDXBSS20180613
中文关键词: 三级医院  抗菌药物管理  策略
英文关键词: tertiary hospital  antimicrobial stewardship  strategy
基金项目:国家自然科学基金面上项目“基于 AMS 策略导向的医院抗菌药物管理模式构建: 综合评价与准实验研究”(71673147)
作者单位
孙晓娈 南京医科大学医政学院,江苏 南京 211166 
邢 园 南京医科大学康复医学院,江苏 南京 211166 
计 成 南京大学医学院附属鼓楼医院,江苏 南京 210008 
李 歆 南京医科大学医政学院,药学院,江苏 南京 211166 
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中文摘要:
      采用方便抽样与滚雪球抽样的方法,对江苏省内50家三级医院抗菌药物管理现状进行调查?2011年组建抗菌药物管理专业技术团队的医院最多;52%的医院会拨付专项经费支持抗菌药物管理;仅有52%的医院会定期向医师反馈抗菌药物使用情况并进行沟通;门诊未开展抗菌药物处方预审与反馈的占52%,病区为36%;84%的医院计算机系统中使用了抗菌药物管理相关的软件程序;行政干预普遍?以实施抗菌药物管理策略为导向,应进一步完善医院多学科协作的抗菌药物管理团队;为抗菌药物管理活动设立专项经费;注重监测信息的反馈;开发一些应用程序辅助抗菌药物管理;积极开展处方/医嘱预审与反馈;转变管理思路,逐渐弱化行政干预?
英文摘要:
      A total of 50 tertiary hospitals in Jiangsu Province were investigated by convenient sampling and snowball sampling. The number of hospitals that established the professional team for antimicrobial stewardship in 2011 was the largest; 52% of hospitals allocated special funds to support antimicrobial stewardship activities; Only 52% of hospitals regularly gave feedback on antimicrobial use and communicated to physicians; 46% of hospitals did not conduct pre?audit and feedback on antimicrobial prescriptions in the outpatient department, and 22% in wards; 84% of computer systems used antimicrobial stewardship?related software; The administrative interventions were widely used. We should improve the multidisciplinary cooperative antimicrobial stewardship (AMS) team, set up special funds for antimicrobial stewardship activities, pay attention to feedback on monitoring information, develop some applications to assist in the management of antimicrobial stewardship, conduct actively pre?audit and feedback, change management ideas, and gradually weaken administrative intervention.
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