摘要
目的:探索医疗机构药物滥用监测工作开展与实施的方法,为我国医疗机构开展药物滥用监测提供参考。方法:我院(滨州医学院附属医院)分别从实时监测与回顾性分析两方面形成相应的药物滥用监测模式,并辅以相关管理措施,界定医疗机构药物滥用监测工作的开展内容,最终通过药物滥用信息的有效上报数量等评价实施成效。结果与结论:我院药物滥用监测工作的主要内容包括成立药物滥用监测管理小组,完善药物滥用监测制度,梳理药物监测目录;通过医疗、护理、药学人员在日常诊疗活动中及时上报药物滥用信息,建立起药物滥用实时监测模式;同时通过医院信息化系统定期分析相关药品使用数据、关注重点科室及重点人群以收集药物滥用信息,建立起回顾性分析药物滥用监测模式;以及采取了加强培训与宣传、建立奖惩机制等一系列的辅助管理措施。自2016年开启监测工作后,2016-2018年上报的药物滥用信息有效数量分别为38、126、237份,并通过监测发现60岁以上(69.83%)的老年女性在医源性镇静催眠类药物中存在滥用情况。医疗机构在院内开展药物滥用监测,可及时、有效地收集药物滥用、行为特征及相关信息,以分析当地药物滥用流行趋势,发现药物滥用风险,同时可为麻醉、精神药品等的监管提供依据。
OBJECTIVE:To explore the method for the development and implementation of drug abuse monitoring in medical institutions,and to provide reference for drug abuse monitoring in medical institutions. METHODS:Our hospital(the affiliated hospital of Binzhou medical college) had established the corresponding drug abuse monitoring mode from the two aspects of real-time monitoring and retrospective analysis,supplemented by relevant management measures,defined the content of drug abuse monitoring in medical institutions,and finally evaluated the implementation effect through the effective reporting quantity of drug abuse information,etc. RESULTS & CONCLUSIONS:The main contents of drug abuse monitoring in our hospital included the establishment of drug abuse monitoring management group,the improvement of drug abuse monitoring system and the sorting out of drug monitoring catalogue;the real-time drug abuse monitoring mode was established through timely reporting drug abuse information by medical,nursing and pharmaceutical personnel in daily diagnosis and treatment activities;at the same time,the retrospective analysis model of drug abuse was established by analyzing the relevant drug use data regularly through the hospital information system,paying attention to the key groups of key departments,and mining drug abuse information;a series of auxiliary management measures were taken,such as strengthening training and publicity,and establishing reward and punishment mechanism. Since the monitoring work was started in 2016,the effective number of drug abuse information reported in 2016-2018 was 38,126 and 237 respectively,and through the monitoring,it was found that the elderly women over 60 years old(69.83%)were abusing in iatrogenic sedative hypnotic drugs. The development of drug abuse monitoring in hospital can collect drug abuse status,behavior characteristics and relevant information timely and effectively,analyze local drug abuse trends,find drug abuse risks,and provide basis for drug control of narcotics and psychotropic substances supervision.
作者
徐洋洋
王玲
张树平
黄元
丁长玲
田月洁
XU Yangyang;WANG Ling;ZHANG Shuping;HUANG Yuan;DING Changling;TIAN Yuejie(Dept.of Pharmacy,the Affiliated Hospital of Binzhou Medical College,Shandong Binzhou 256603,China;National Center for ADR Monitoring,Beijing 100022,China;School of Pharmacy,Binzhou Medical College,Shandong Yantai 264003,China;Shandong Province Center for ADR Monitoring,Jinan 250014,China)
出处
《中国药房》
CAS
北大核心
2019年第23期3181-3185,共5页
China Pharmacy
基金
国家自然科学基金面上项目（No.31570352）
山东省医药卫生科技发展计划项目（No.2017WS153）
山东省药物滥用监测哨点建设项目
关键词
医疗机构
药物滥用
实时监测
回顾性分析监测
探索
实践
Medical institutions
Drug abuse
Real-time monitoring
Respective monitoring
Exploration
Practice
