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目的:探讨信息化管理在促进临床合理应用抗菌药物中的作用。方法:分别于2011、2013年通过电子病历系统相继嵌入抗菌药物医嘱的相关干预程序,实施对抗菌药物规范使用的信息化管理。结果:通过信息化干预,抗菌药物的使用率从25.7%降到19.2%(清洁切口使用率从98.4%降到11.4%),使用强度从24.7DDDs降到11.9DDDs(其中外科从26.2DDDs降到19.3DDDs),病原学送检率稳定在80%左右;医保专项扣款也明显减少。结论:抗菌药物医嘱的信息化控制有效规范了抗菌药物临床使用行为,有助于长效管理机制的建立。
Objective: To explore the role of information management in promoting clinical use of antimicrobial agents. Methods: In 2011 and 2013 respectively, the electronic medical records system was embedded in antibacterial medicine orders related intervention procedures, the implementation of standardized use of antimicrobial drugs information management. Results: Through informational intervention, the use rate of antimicrobial drugs decreased from 25.7% to 19.2% (cleaning incision utilization rate decreased from 98.4% to 11.4%), and the intensity of use decreased from 24.7DDDs to 11.9DDDs (surgery decreased from 26.2DDDs to 19.3DDDs), the rate of etiological examination was stable at around 80%, and the special medical insurance deduction was also significantly reduced. Conclusion: The informational control of antibacterials prescriptions effectively regulated the clinical use of antibacterials, and contributed to the establishment of long-term management mechanism.