基于病例组合指数与秩和比法的抗菌药物使用强度分档评价模型的建立与应用
R978.1; 目的 创新性引入相关关键指标计算抗菌药物使用强度(AUD),实现AUD分档评价.方法 基于华东地区某三级甲等综合医院2021年1—6月在DIP系统中的病例组合指数(CMI)、抗菌药物使用率以及HIS系统中的AUD数据,确立最优直线回归模型.通过非整秩次方法编秩、计算,对基于CMI调整AUD的秩和比(RSR)分档与AUD单一评估进行的RSR分档进行比较.结果 医院32个科室的AUD引入CMI值的秩和比分档评价模型显示,12个科室的分档结果产生变化,占37.5％,需要加强管控科室(分档为下和中级别)的总体数量有所上升;引入CMI指数调整AUD后管控级别上调的科室7个,管控级别下调的...
Saved in:
| Published in | 中国临床医学 Vol. 29; no. 6; pp. 932 - 938 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | Chinese |
| Published |
复旦大学附属中山医院医务处,上海 200032%复旦大学附属中山医院药剂科,上海 200032
01.12.2022
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 1008-6358 |
| DOI | 10.12025/j.issn.1008-6358.2022.20220463 |
Cover
| Abstract | R978.1; 目的 创新性引入相关关键指标计算抗菌药物使用强度(AUD),实现AUD分档评价.方法 基于华东地区某三级甲等综合医院2021年1—6月在DIP系统中的病例组合指数(CMI)、抗菌药物使用率以及HIS系统中的AUD数据,确立最优直线回归模型.通过非整秩次方法编秩、计算,对基于CMI调整AUD的秩和比(RSR)分档与AUD单一评估进行的RSR分档进行比较.结果 医院32个科室的AUD引入CMI值的秩和比分档评价模型显示,12个科室的分档结果产生变化,占37.5％,需要加强管控科室(分档为下和中级别)的总体数量有所上升;引入CMI指数调整AUD后管控级别上调的科室7个,管控级别下调的科室5个.结论 基于CMI与秩和比法的AUD分档评价模型调整各科室AUD指标并实行分层评价的方法可行、有效. |
|---|---|
| AbstractList | R978.1; 目的 创新性引入相关关键指标计算抗菌药物使用强度(AUD),实现AUD分档评价.方法 基于华东地区某三级甲等综合医院2021年1—6月在DIP系统中的病例组合指数(CMI)、抗菌药物使用率以及HIS系统中的AUD数据,确立最优直线回归模型.通过非整秩次方法编秩、计算,对基于CMI调整AUD的秩和比(RSR)分档与AUD单一评估进行的RSR分档进行比较.结果 医院32个科室的AUD引入CMI值的秩和比分档评价模型显示,12个科室的分档结果产生变化,占37.5％,需要加强管控科室(分档为下和中级别)的总体数量有所上升;引入CMI指数调整AUD后管控级别上调的科室7个,管控级别下调的科室5个.结论 基于CMI与秩和比法的AUD分档评价模型调整各科室AUD指标并实行分层评价的方法可行、有效. |
| Author | 丁昉 李晓宇 张亚平 锁涛 曹蕾 孙湛 陈璋璋 |
| AuthorAffiliation | 复旦大学附属中山医院医务处,上海 200032%复旦大学附属中山医院药剂科,上海 200032 |
| AuthorAffiliation_xml | – name: 复旦大学附属中山医院医务处,上海 200032%复旦大学附属中山医院药剂科,上海 200032 |
| Author_FL | DING Fang CAO Lei SUN Zhan SUO Tao LI Xiao-yu CHENG Zhang-zhang ZHANG Ya-ping |
| Author_FL_xml | – sequence: 1 fullname: CAO Lei – sequence: 2 fullname: SUN Zhan – sequence: 3 fullname: DING Fang – sequence: 4 fullname: SUO Tao – sequence: 5 fullname: ZHANG Ya-ping – sequence: 6 fullname: CHENG Zhang-zhang – sequence: 7 fullname: LI Xiao-yu |
| Author_xml | – sequence: 1 fullname: 曹蕾 – sequence: 2 fullname: 孙湛 – sequence: 3 fullname: 丁昉 – sequence: 4 fullname: 锁涛 – sequence: 5 fullname: 张亚平 – sequence: 6 fullname: 陈璋璋 – sequence: 7 fullname: 李晓宇 |
| BookMark | eNo9UMtKw0AA3EMFa-139JS4jyRNjlJ8QcGLnstuki0tJQWD-DhXrbZWkZSCB6UI2uKhggcl9fEz2d1-hqGKlxmYGWZglkAmaAY-AAUEdYQhNlfqei0MAx1BaGsWMW09VfEcoGGRDMj-O4sgH4Y1BiGCJiQYZgEX93ES99TgJPnqqGlLXLdl90z2X5L3nnoai5uunETyta9uW_JiMLvqzi4n6nycfH6raCQ-YhE_ivapHD7MJq1k-iZHQ3HXScNiGqvnTloi4ihNLoMFThuhn__jHNhdX9spbWrl7Y2t0mpZCxHEtkYMzpmFHKNouJhxh0Dfoazom7bvccdl1Hag5ZgmQ5Rhw0QWJ5xyr-hhGxHXs0kOFH57D2jAaVCt1Jv7e0G6WDmuNtyjw_kpVnoH-QEPi4LL |
| ClassificationCodes | R978.1 |
| ContentType | Journal Article |
| Copyright | Copyright © Wanfang Data Co. Ltd. All Rights Reserved. |
| Copyright_xml | – notice: Copyright © Wanfang Data Co. Ltd. All Rights Reserved. |
| DBID | 2B. 4A8 92I 93N PSX TCJ |
| DOI | 10.12025/j.issn.1008-6358.2022.20220463 |
| DatabaseName | Wanfang Data Journals - Hong Kong WANFANG Data Centre Wanfang Data Journals 万方数据期刊 - 香港版 China Online Journals (COJ) China Online Journals (COJ) |
| DatabaseTitleList | |
| DeliveryMethod | fulltext_linktorsrc |
| DocumentTitle_FL | Establishment and application of evaluation model of antibiotics use density based on CMI and rank-sum ratio |
| EndPage | 938 |
| ExternalDocumentID | zglcyx202206008 |
| GrantInformation_xml | – fundername: (上海市医院协会医院管理研究基金); (上海申康医院发展中心 funderid: (上海市医院协会医院管理研究基金); (其他-011)) |
| GroupedDBID | 2B. 4A8 92I 93N ALMA_UNASSIGNED_HOLDINGS CDYEO PSX TCJ |
| ID | FETCH-LOGICAL-s1028-34ffb619474c2bf930e9ab7e58edf9cba8906955b1ab24516f3fafd7d2813cd83 |
| ISSN | 1008-6358 |
| IngestDate | Thu May 29 04:08:22 EDT 2025 |
| IsPeerReviewed | false |
| IsScholarly | true |
| Issue | 6 |
| Keywords | 秩和比法 病例组合指数 抗菌药物使用强度 分档评价模型 |
| Language | Chinese |
| LinkModel | OpenURL |
| MergedId | FETCHMERGED-LOGICAL-s1028-34ffb619474c2bf930e9ab7e58edf9cba8906955b1ab24516f3fafd7d2813cd83 |
| PageCount | 7 |
| ParticipantIDs | wanfang_journals_zglcyx202206008 |
| PublicationCentury | 2000 |
| PublicationDate | 2022-12-01 |
| PublicationDateYYYYMMDD | 2022-12-01 |
| PublicationDate_xml | – month: 12 year: 2022 text: 2022-12-01 day: 01 |
| PublicationDecade | 2020 |
| PublicationTitle | 中国临床医学 |
| PublicationTitle_FL | Chinese Journal of Clinical Medicine |
| PublicationYear | 2022 |
| Publisher | 复旦大学附属中山医院医务处,上海 200032%复旦大学附属中山医院药剂科,上海 200032 |
| Publisher_xml | – name: 复旦大学附属中山医院医务处,上海 200032%复旦大学附属中山医院药剂科,上海 200032 |
| SSID | ssib001050320 ssib006562945 ssib036441625 ssib001103563 ssib002262996 ssib008144075 ssib051368386 |
| Score | 2.3272965 |
| Snippet | R978.1; 目的 创新性引入相关关键指标计算抗菌药物使用强度(AUD),实现AUD分档评价.方法 基于华东地区某三级甲等综合医院2021年1—6月在DIP系统中的病例组合指数(CMI)、抗菌... |
| SourceID | wanfang |
| SourceType | Aggregation Database |
| StartPage | 932 |
| Title | 基于病例组合指数与秩和比法的抗菌药物使用强度分档评价模型的建立与应用 |
| URI | https://d.wanfangdata.com.cn/periodical/zglcyx202206008 |
| Volume | 29 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVAON databaseName: DOAJ Open Access Full Text issn: 1008-6358 databaseCode: DOA dateStart: 20160101 customDbUrl: isFulltext: true dateEnd: 99991231 titleUrlDefault: https://www.doaj.org/ omitProxy: true ssIdentifier: ssib006562945 providerName: Directory of Open Access Journals |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV3La9RAGA-lgngRRcU3PTh4Ss1rkplj0mYpgp5a6K0k2aQKsoJtQXuuWm2tUloKHpQiaIuHCh6UrY9_ZpPtn-H3fTubxFrqA4RlmJ35fe9k55vZyUTTrnh4xlacxjrcO67uAEgX0jP1DA9rh-EzMelQnxs33bEJ5_oknxwYXK3tWpqbjYeT-QOfK_mXqEIbxBWfkv2LyJZMoQHqEF8oIcJQ_lGMWciZbLDAZ6GDpQhZ6DHpMcGpJWQiwJYgYMIhsMGEYKHLxAgTHlYkZ4FBYKHIffhIAlsIA4zfYNLBSmAjHkX4xBD4-CguBNoGgaEyinjACEl8gPMoC6gFmPgCOQcjpDPH0nexAloJl2SZzLeRDzBBEQ4qH5CqQAu9qFjfLqUGJ4xPygfUVZpDIlB5Jb2eiyuYP0o8A9Sz1xI4ilCQkmAX8IcKIP1yIZOcB0QSlUUvhlUPQaUkl0lAVT09xUwihoqseiQq2OsJ3D6NWo6xrH1bW0iEg75GRp5yIrRA8PqKEkvZd5CJXqsbDC2BWTOPwL71k8Fgf8_jKMuBu7FvgE9qAhMPj6Q0bItZ_H_qVF5WHC8rYanrVJqH6VQbb3H3DeS8oj4gqyWw27-MrlKRpuqbODAHgKhwSgJQwnApYRijRQUeklelP-Wm1PnpO8mD-wRw6fyAIxZkCkZtmaa3hMLBgtqUwzRs7tZTYhcyvCrFh_mSJWv_3AvcTVGl7DbOR9xqTOWm7QqbXlBban5Uu9q369rhVtGTh60sak3XkuTxE9pxNbsd8ns_VSe1gflbp7Qsf93utFe6Gw8735a6uwv5i8Vi-XGx_qHzeaX7bjtfXS521oqP692XC8XTjb3ny3vPdrpPtjtfv3fXtvIv7bz9Nl98VGy-2dtZ6Ox-KrY281dLAM532933S8Akb68B8rQ20QjHR8Z09XoXfQZnNbrtZFmMi6iek1hxJm0jlVHspVykzUwmcSSk4UrOYzOKLXyfeGZnUdb0mpYw7aQp7DPaYOtuKz2rDUVJ2pSmZzazKHa8TMjMcSIr8uwksZDinDak_DKlfr5npvaF-_zvIRe0Y9Udf1EbnL03l16CKclsfJmukR_h4u81 |
| linkProvider | Directory of Open Access Journals |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=%E5%9F%BA%E4%BA%8E%E7%97%85%E4%BE%8B%E7%BB%84%E5%90%88%E6%8C%87%E6%95%B0%E4%B8%8E%E7%A7%A9%E5%92%8C%E6%AF%94%E6%B3%95%E7%9A%84%E6%8A%97%E8%8F%8C%E8%8D%AF%E7%89%A9%E4%BD%BF%E7%94%A8%E5%BC%BA%E5%BA%A6%E5%88%86%E6%A1%A3%E8%AF%84%E4%BB%B7%E6%A8%A1%E5%9E%8B%E7%9A%84%E5%BB%BA%E7%AB%8B%E4%B8%8E%E5%BA%94%E7%94%A8&rft.jtitle=%E4%B8%AD%E5%9B%BD%E4%B8%B4%E5%BA%8A%E5%8C%BB%E5%AD%A6&rft.au=%E6%9B%B9%E8%95%BE&rft.au=%E5%AD%99%E6%B9%9B&rft.au=%E4%B8%81%E6%98%89&rft.au=%E9%94%81%E6%B6%9B&rft.date=2022-12-01&rft.pub=%E5%A4%8D%E6%97%A6%E5%A4%A7%E5%AD%A6%E9%99%84%E5%B1%9E%E4%B8%AD%E5%B1%B1%E5%8C%BB%E9%99%A2%E5%8C%BB%E5%8A%A1%E5%A4%84%2C%E4%B8%8A%E6%B5%B7+200032%25%E5%A4%8D%E6%97%A6%E5%A4%A7%E5%AD%A6%E9%99%84%E5%B1%9E%E4%B8%AD%E5%B1%B1%E5%8C%BB%E9%99%A2%E8%8D%AF%E5%89%82%E7%A7%91%2C%E4%B8%8A%E6%B5%B7+200032&rft.issn=1008-6358&rft.volume=29&rft.issue=6&rft.spage=932&rft.epage=938&rft_id=info:doi/10.12025%2Fj.issn.1008-6358.2022.20220463&rft.externalDocID=zglcyx202206008 |
| thumbnail_s | http://utb.summon.serialssolutions.com/2.0.0/image/custom?url=http%3A%2F%2Fwww.wanfangdata.com.cn%2Fimages%2FPeriodicalImages%2Fzglcyx%2Fzglcyx.jpg |