The Key Processes Of Clinical Rational Drug Use To Create And Link Control Management Research

BackgroundWorld Health Organization provides a set of latest data, the world's nearly 1 / 7 die of the disease the cause of death is not the inherent nature of disease, but improper use of medicines. Pharmaceutical quality management, the problems become increasingly prominent, and the resulting consequences are more serious. In recent years, people over-reliance on antibiotics and abuse, making rapid growth of drug-resistant strains have become drug-resistant TB with the AIDS virus, in parallel with a threat to human health, one of the three pathogenic micro-organisms; vitamins are not drugs rational use of also becoming more and more serious, excess and abuse of an endless stream; traditional Chinese medicines and biological synthesis of the irrational use of drugs not only increased the difficulty of treatment of disease and give patients increased the financial burden.With the socio-economic development and people's living standards improve, people's health needs and rights awareness significantly improve the patient for medical services and medical quality requirements have become more sophisticated, especially in drug use and management is achieved excellence point. Medication is difficult, expensive drugs has also been plagued masses of people see a doctor for treatment of the major problems of mistrust between doctors and patients as well as the pharmaceutical industry's unspoken rules and other issues, exacerbated by the physician-patient relationship, the medical industry, a healthy and stable development have created a adversely affected. Therefore, in this context, to strengthen drug-use management problem must be resolved level. Although this is a lot of discussion and study, but the real play a positive role in has very little quality of medical services at present levels and goal of the health needs of the people there are still some gaps, this is the current medical and health services, the difficulties facing the industry and focus is also an urgent need to improve and enhance our focus and hot spots. The topics at home and abroad to learn from the experience of clinical rational use of drugs, the clinical rational use of drugs for the domestic problems in the aspect of rational drug use control processes and areas for research. And the basis for formulating the "whole process of quality evaluation standard" implementation of the quality of medical care process analysis and evaluation of effectiveness.ObjectiveIn this study, Professor Jiashun Ren undertake research projects in Chongqing, "the whole process of medical quality control system and the establishment and management of the study" questions the basis for the legislation, to which the medical aspects of quality management and control of the relevant knowledge base for research on the rational use of medicines scientifically management and supervision to ensure that all aspects of drug use has been effectively controlled, the relevant effective to enhance the quality of service standards to ensure that pharmacists practice the technology resources effectively for clinical resource allocation and provide a basis for performance evaluation. Effectively improve the hospital in order to achieve rational drug use, to maximize the "patient-centered" health care purposes. Carried out by the specific application is expected to make rational use of drugs can significantly increase the level, and for "the whole process of medical quality control system and the establishment and management of research" into the further development of application software to provide reference.Methods1. through the investigation, inquiry, simulation sketches, follow-up of clinical experts, physicians and pharmacists of clinical rational use of drugs such as the initial establishment of key processes.2. will develop the key processes of clinical rational use of drugs applied to the clinical departments, the use of clinical pharmacists to guide rational drug use under the rational use of drugs for clinical evaluation of the effect of key processes: Select from August 2008 to November 2008 period, a large 3 A-level hospital treatment and the clinical application of rational drug use in patients with critical processes for the experimental group; the same time, drawn out in the information database from August 2007 to November 2007 was not hospitalized in the hospital during the clinical application of rational drug use in patients with critical processes compared with the control group. 3. the key processes of clinical rational use of quality management from the perspective of all aspects of control research. Thus every aspect of continuous improvement, to further improve the key processes of clinical rational drug use4. statistical analysis: The SPSS13.0 and Excel 2007 statistical software for data analysis.Results1. establish a set of perfect key processes of clinical rational use of drugs and their link to control it.2. promoted drug use standardized, scientific and reasonable.3. effectively reducing the masses of the economic burden of drug use, improve patient satisfaction with medical treatment, reduces the incidence of medical disputes.4. increased drug use reasonable indicators, reducing the incidence of unqualified prescriptions, making irrational use of drugs the proportion of the cost share of the total cost of medical treatment significantly reduced.ConclusionThrough comparative analysis, the study verified the level of quality control of pharmaceutical promotion and significant upgrading of link quality information to determine the drug selection and the establishment of key points to explore and improve the "key processes of clinical rational drug use to create and link control and management research" effective measures and ways and means. Through the development and the establishment of a complete set of management models to rationalize the use of drugs to effectively monitor and control, achieved to reduce the burden on patients to improve the level of the hospital rational use of medicines to achieve the "patient-centered" target. In order to further regulate the drug conduct medical staff to further improve efficacy and reduce adverse reactions and improve the level of clinical treatment drugs provides a useful reference.