ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-03-043 检验与方法 2026, 2(03): 169-172

医共体药事质量同质化管理的应用研究

浙江省临海市中医院

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摘要

目的 本研究针对医共体药事质量同质化管理的应用可行性和具体效果进行探究和分析。方法 本研究评估2023年12月至2024年11月医共体医院药学部药事质量管理成效,同步探索医共体框架下牵头单位药事质量同质化管理的可行路径。将2023年12月至2024年5月设为“实施前阶段”,推行常规管理;2024年6月至11月设为“实施后阶段”,开展面向医共体内部推广应用的药事质量同质化管理标准建设。每月对药物质控检查评分(涵盖药事管理、动态监测、合理用药及不良反应管理)与规范用药程度评分(包括用药指南遵循、流程规范、中西药配伍、药品选择、用药监测与反馈机制有效性)进行系统评估,每组进行连续6个月的考核。结果在应用医共体药事质量同质化管理之后,药物质控检查的各项评分提高,并且显著高于实施之前,实施前后差异比较相对显著,具有统计学意义(P<0.05);其中,规范化用药程度的各项评分高于实施之前,差异显著,具有统计学意义(P<0.05)。结论 本研究发现,医共体药事质量同质化管理的应用积极效果显著,可以显著提升用药规范化程度,医院药学部药物质量管理效果显著提升,值得借鉴和全面推广。

Abstract

Objective This study investigated the feasibility and specific effects of implementing standardized pharmaceutical quality management within medical consortiums. Methods The effectiveness of pharmaceutical quality management in our hospital's pharmacy department was evaluated from December 2023 to November 2024. The period from December 2023 to May 2024 was designated as the “pre-implementation phase” for routine management, while June to November 2024 served as the “post-implementation phase” for standardized pharmaceutical quality management. Monthly systematic assessments were conducted on drug quality control inspections(covering pharmaceutical management, dynamic monitoring, rational drug use, and adverse drug reaction management) and standardized medication(including adherence to medication guidelines, process standardization, compatibility of Chinese and Western medicines, drug selection, and effectiveness of medication monitoring and feedback mechanisms). Each group underwent continuous evaluation for six months. Results After implementing standardized pharmaceutical quality management in medical consortiums, scores in drug quality control inspections were significantly higher than those in the pre-implementation phase, with statistically significant differences between the pre-implementation and post-implementation phases(P<0.05). Notably, standardized medication scores also demonstrated statistically significant improvements(P<0.05). Conclusion This study demonstrates that standardized pharmaceutical quality management in medical consortiums yields positive outcomes, significantly enhancing medication standardization and improving drug quality management efficiency in hospital pharmacies. These findings provide valuable references for broader implementation and promotion.

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[1]周慧萍,胡宏威,安大伟.医共体药事质量同质化管理的应用研究[J].疾病预防与控制,2026,2(03):169-172.