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目的探讨建立合理使用抗生素的质量标准和评价方法，旨在将合理用药纳入质量管理。方法根据临床和药学专家的用药经验和认识能力，由专家提出评价项目和方法，综合整理后，建立评价标准和方法。通过三级查房、用药咨询、检查控制抗生素的使用频度等，对合理用药作出评价。结果经过评价和控制实践，医院抗生素总体使用率呈下降趋势，非手术科室下降１５个百分点。合理用药上升７个百分点。结论注重合理使用抗生素的管理，建立质量标准评价，对临床医生用药有一定的制约力。
Objective To explore the establishment of quality standards and evaluation methods for the rational use of antibiotics, aiming to include rational drug use into quality management. Methods Based on the experience and ability of clinical and pharmaceutical experts to use drugs, the experts proposed the evaluation items and methods, and after the completion of the evaluation, established the evaluation criteria and methods. Through the three rounds of ward, medication advice, check the frequency of use of antibiotics, etc., to evaluate the rational use of drugs. Results After evaluation and control practice, the overall antibiotic utilization rate of hospitals showed a downward trend, and non-surgical departments decreased by 15%. Rational use of drugs increased by 7 percentage points. Conclusion The emphasis on rational use of antibiotic management, the establishment of quality standards for the evaluation of the clinician medication has some restraint.