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目的:探讨强化中药调剂质量监督管理对临床治疗的影响。方法:回顾性比较浙江省宁海县中医医院中药房实施强化调剂质量监督管理方案前后的各120例处方,将实施前的设为对照组,实施后的设为观察组。对照组采用中药房常规调剂质量管理措施,观察组在对照组的基础上,加强中药分类和质量管理,及中药调剂人员素质的培训,进一步规范化、科学化医师处方及中药的核对工作。以两组中药调剂对患者治疗期间不良事件发生率、患者对中药调剂疗效的满意度情况作为评价指标,对两组中药调剂的临床疗效进行比较分析研究。结果:经过不同调剂质量监督管理,观察组处方对患者的治疗不良事件发生率显著比对照组低(P<0.05)。观察组处方对患者的病情改善情况,显著优于对照组(P<0.05)。在调查患者对调剂人员服务满意度方面,观察组明显高于对照组(P<0.05)。结论:将强化调剂质量监督管理应用到药房药品管理中,不仅有利于降低了医师处方与药物不匹配等不良事件的发生率,很大程度提高了医师处方药剂对患者的救治质量,而且为患者的生命健康增添了保障,提高了患者对医师处方治疗及药师人员服务的满意度及依从性。
Objective: To explore the effect of strengthening the quality supervision and management of traditional Chinese medicine on clinical treatment. Methods: A retrospective comparison of Ninghai County Chinese Medicine Hospital in Zhejiang Province before and after the implementation of intensive program of quality supervision and management of the 120 prescriptions before and after the implementation of the set as the control group, after the implementation of the observation group. The control group adopted the routine quality control measures in the pharmacy. The observation group strengthened the training on the classification and quality control of traditional Chinese medicines and the quality of Chinese medicine swappers on the basis of the control group, further standardizing and scientifically standardizing the prescriptions of doctors and the checking of traditional Chinese medicines. Two groups of Chinese medicine on the treatment of patients during the adverse event rate, the patient satisfaction with the efficacy of Chinese medicine transfer as an evaluation index, the two groups of traditional Chinese medicine in the clinical efficacy of comparative analysis. Results: After different quality control, the incidence of adverse events in observation group was significantly lower than that in control group (P <0.05). Observation group of patients to improve the condition, significantly better than the control group (P <0.05). The observation group was significantly higher than that of the control group (P <0.05). Conclusion: The application of intensive drug quality supervision and management to pharmacy management not only reduces the incidence of adverse events such as physician prescribing and drug mismatch, but also greatly improves the quality of physicians’ prescription medication for patients, Life and health added to the protection, and improved patient satisfaction and compliance with prescriptions and physicians’ services.