A Novel Clinical Pharmacy Management System in Improving the Rational Drug Use in Department of General Surgery

Wang, Y; Shang, Tongyi; Ren, Xianhua; Ma, Ruilian

doi:10.4103/0250-474x.113531

Cited by 8 publications

(8 citation statements)

References 15 publications

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“…Besides, only 65 out of 300 hospitals were admitted in this study, which was mainly due to three reasons: (1) the lack of a fully-functional pharmacy management system in certain hospitals that were excluded from this study; (2) the concern for release of sensitive medical data; and (3) the stratified sampling method, which required a ratio of the number of tertiary hospitals to the number of secondary hospitals equaling about 9/10. A computerized pharmacy management system plays important roles in pharmacy validation and concurrent prescription monitoring with improved patient outcomes [ 17 ]. However, more than 50 hospitals that could not participate in this study lacked a functional pharmacy module in their hospital information systems during the study periods, especially in 2010.…”

Section: Discussionmentioning

confidence: 99%

Significant Reduction of Antibiotic Consumption and Patients’ Costs after an Action Plan in China, 2010–2014

et al. 2015

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IntroductionOn July 1, 2011, the Chinese government launched a national Action Plan for antibiotic stewardship targeting antibiotic misuse in public hospitals. The aim of this study was to evaluate the impacts of the Action Plan in terms of frequency and intensity of antibiotic utilization and patients costs in public general hospitals.MethodsAdministrative pharmacy data from July 2010 to June 2014 were sampled from 65 public general hospitals and divided into three segments: (1) July 2010 to June 2011 as the preparation period; (2) July 2011 to June 2012 as the intervention period; and (3) July 2012 to June 2014 as the assessment period. The outcome measures included (1) antibiotic prescribing rates; (2) intensity of antibiotic consumption; (3) patients costs; and (4) duration of peri-operative antibiotic treatment in clean surgeries of thyroidectomy, breast, hernia, and orthopedic procedures. Longitudinal and cross-sectional analyses were conducted.ResultsLongitudinal analyses showed significant trend changes in the frequency and intensity of antibiotic consumption, the patients’ costs on antibiotics, and the duration of antibiotic treatment received by surgical patients undergoing the 4 clean procedures during the intervention period. Cross-sectional analyses showed that the antibiotic prescribing rates were reduced to 35.3% and 12.9% in inpatient and outpatient settings, that the intensity of antibiotic consumption was reduced to 35.9 DDD/100 bed-days, that patients’ costs on antibiotics were reduced significantly, and that the duration of peri-operative antibiotic treatment received by surgical patients undergoing the 4 types of clean procedures decreased to less than 24 hour during the assessment period.ConclusionThe Action Plan, as a combination of managerial and professional strategies, was effective in reducing the frequency and intensity of antibiotic consumption, patients’ costs on antibiotics, and the duration of peri-operative antibiotic treatment in the 4 clean surgeries.

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Section: Discussionmentioning

confidence: 99%

Significant Reduction of Antibiotic Consumption and Patients’ Costs after an Action Plan in China, 2010–2014

et al. 2015

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“…The rapid increase in e-health service has resulted in the implementation of the rational antibiotic use system (RAUS) into China’s hospitals. There are many forms of RAUSs with different functions, such as the Prescription Antibiotic Monitoring Program, the Pharmacy Management System, the Prescription Automatic Screening System and the Computerized Clinical Decision Support [16,17,18,19,20,21,22]. The functions can be summarized into: prescribing behavior monitoring, antibiotic information consultation and medication prescription support.…”

Section: Introductionmentioning

confidence: 99%

“…For instance, in the United States, the Prescription Antibiotic Monitoring Program is widely used to address the diversion of prescription antibiotics and the abuse of antibiotic, which assists doctors in identifying antibiotic-seeking behaviors and avoid adverse antibiotic interactions effectively [18]. From a clinical perspective, a study of the Pharmacy Management System in the department of general surgery in a Chinese hospital reported that this system can standardize antibiotic accuracy apparently by improving the prescribing behaviors of doctors [16]. Another study of a Chinese hospital also verified that the introduction of the Prescription Automatic Screening System could improve pharmacy administration and result in a decrease in negative pharmacy events and enhance the rate in rational prescriptions of doctors [19].…”

Section: Introductionmentioning

confidence: 99%

“…This provides a channel for patients to better understand doctors’ medication behaviors, which will also have a positive impact on the doctor-patient relationship in the long term. On the other hand, the usage of the RAUS plays a positive role in improving doctors’ medical efficiency and accuracy [16], as they can easily access medical information and check the antibiotics usage in real time without merely relying on their own memories and experiences. Therefore, the medical quality and medical efficiency of doctors will be effectively improved with the use of the RAUS, and consequently improve a hospital’s reputation.…”

Section: Introductionmentioning

confidence: 99%

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Exploring the Impact of the Rational Antibiotic Use System on Hospital Performance: The Direct Effect and the Spillover Effect

Guo

Chen

et al. 2019

IJERPH

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Irrational antibiotic usage not only causes an increase in antibiotic-borne diseases, but also inflicts pain on patients, as a result of inappropriate treatment. In order to resolve the hazards caused by irrational antibiotic usage, a kind of e-health service, the Rational Antibiotic Use System (RAUS), has been incorporated into the hospital information system. The RAUS provides doctors and patients with the functions of antibiotic usage monitoring, antibiotic information consultation and antibiotic prescription support. Though existing literature has already proved the usefulness of the RAUS on monitoring doctors’ behavior, the effects on hospital performance from an organizational perspective has rarely been measured by empirical data. Therefore, our study has explored the effects of the RAUS on the performance of a large Chinese hospital, which has implemented the RAUS since March 2014. Through empirical research, we quantified the effects of the implementation of the RAUS on a hospital’s performance from both the direct effects on the “drug income” and the spillover effect on the “treatment income”. The results indicate a significant positive spillover effect on the treatment incomes of a hospital in its inpatient activities (seen as significant in the long term) and in its outpatient activities (seen as significant in both the short and long terms). In addition, this research provides certain theoretical and practical implications for the dilemma of e-health services application in irrational antibiotic usage.

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“…Internationally, there are corresponding studies on pharmacists’ influences on prescribing [ 24 ], rational drug use [ 25 ] and opinions on adverse drug reaction reporting [ 26 ]. However, there are few studies on hospital pharmacists’ understanding about the NEMS.…”

Section: Introductionmentioning

confidence: 99%

Hospital pharmacists’ knowledge of and attitudes towards the implementation of the National Essential Medicines System: a questionnaire survey in western China

Shen

Yang

Chang

et al. 2016

BMC Health Serv Res

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BackgroundIn 2009, Chinese government launched a new healthcare reform, one of the key points of which is to establish National Essential Medicine System (NEMS). Hospital pharmacists are directly related to the implementation of NEMS. This study is to examine knowledge of and attitudes towards the implementation of the NEMS among hospital pharmacists in western China.MethodsWe conducted a questionnaire survey of pharmacists from different types of medical institutions in Shaanxi Province in November 2014. We gathered demographic information about the participants, collected the data about their knowledge of and attitudes towards the implementation of NEMS, and identified the influencing factors of cognitive level. We analyzed the data and compared public secondary/tertiary hospitals and primary healthcare institutions.ResultsOf the 704 participants (response rate = 70.2 %), the majority had positive and moderate knowledge (39.2 and 53.3 %) and attitudes (35.8 and 62.9 %) towards NEMS. The most participants were aware of the implementation time of NEMS (89.8 %) and zero mark-up policy (85.5 %) while the least learned of the adjustment time of National Essential Medicines List (NEML). Pharmacists from public secondary/tertiary hospitals tended to know more and have more positive attitudes. There was no statistical correlation between knowledge and attitude scores. The education level (p = 0.022) and number of training sessions attended (p = 0.028) were the only demographic variables linked to knowledge scores.ConclusionsHospital pharmacists in Shaanxi Province had moderate knowledge of and attitudes towards the implementation of NEMS. Pharmacists from public secondary/tertiary hospitals showed better understanding. The government should therefore focus on improving the understanding of pharmacists in primary healthcare institutions and also address existing problems, especially the supply and distribution systems.

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A Novel Clinical Pharmacy Management System in Improving the Rational Drug Use in Department of General Surgery

Cited by 8 publications

References 15 publications

Significant Reduction of Antibiotic Consumption and Patients’ Costs after an Action Plan in China, 2010–2014

Significant Reduction of Antibiotic Consumption and Patients’ Costs after an Action Plan in China, 2010–2014

Exploring the Impact of the Rational Antibiotic Use System on Hospital Performance: The Direct Effect and the Spillover Effect

Hospital pharmacists’ knowledge of and attitudes towards the implementation of the National Essential Medicines System: a questionnaire survey in western China

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