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目的:初步探讨基于CA认证、HR和HIS系统的抗菌药物分级管理。方法:以CA认证技术为载体,通过HR和HIS系统的无缝对接,将分线药物的使用权限分配给不同级别的医师。结果:门诊抗菌药物使用率由原来的23.8%下降到18.1%,住院抗菌药物使用率由原来的61.4%下降到54.2%,合理使用率由原来的85.1%上升到95.3%。结论:该研究有效遏制了抗菌药物的滥用,保障了医疗质量水平,落实了我院抗菌药物管理制度及规定。
OBJECTIVE: To investigate the classification of antimicrobial agents based on CA, HR and HIS systems. Methods: With the CA certification technology as the carrier, through the seamless connection between HR and HIS system, the authority of dispensing drug was assigned to different levels of physicians. Results: The outpatient antimicrobial use rate dropped from 23.8% to 18.1%, the inpatient antimicrobial use rate dropped from 61.4% to 54.2%, and the reasonable utilization rate increased from 85.1% to 95.3%. Conclusion: This study effectively curbed the abuse of antimicrobial drugs, guaranteed the quality of medical treatment, and implemented the antimicrobial drug management rules and regulations in our hospital.