OBJECTIVE:To evaluate the effect of the implementation of comprehensive reform with“zero drug profit”and the like in Jingjiang City People’s Hospital. METHODS:Comparative analysis was made to the data for the adjustment of medical ser-vices and medicine specifications,control of medical expenses,general condition of hospital operation and hospital compensation mechanism before (2012) and after (2013) comprehensive reform in this hospital. RESULTS & CONCLUSIONS:After the com-prehensive reform,the number of medical services provided by this hospital increased from 1 408 to 1 426 (with increase rate of 1.28%),in which the prices of 949 services raised (accounting for 66.55%);the number of medicine specifications decreased from 1 875 to 1 670 (with decrease rate of 10.93%),but the number of essential medicine specifications increased from 261 to 377 (with increase rate of 44.44%);total medical expense and total medical expense per capita respectively increased from 477 565.0 thousand yuan and 633.21 yuan to 524 865.9 thousand yuan and 686.91 yuan(with increase rate of 9.90% and 8.48%), but total medicine expense and total medicine expense per capita respectively decreased from 207 656.8 thousand yuan and 275.33 yuan to 199 052.7 thousand yuan and 260.51 yuan(with decrease rate of 4.14% and 5.38%),the proportion of medicine revenue in total hospital revenue also decreased from 43.48%to 37.92%(with decrease rate of 5.56%);total medical revenue and expendi-ture respectively increased from 453 825.5 thousand yuan and 217 516.3 thousand yuan to 524 865.9 thousand yuan and 263 733.3 thousand yuan (with increase rate of 15.65% and 21.25%),but total drug revenue and expenditure respectively changed from 208 380.8 thousand yuan and 176 054.1 thousand yuan into 199 052.7 thousand yuan and 196 407.5 thousand yuan(with increase rate of -4.48% and 11.56%);although the compensation reached 26 596.0 thousand yuan after raising the prices of hospital ser-vices,the subsidies(including the subsidy for basic construction and equipment procurement,fund for public health services,fund for the retirement conforming to requirements and subsidy for the balance found after checking revenue and expenditure) which should be granted by the government has not become available. It is an urgent issue that government departments and the hospital further improve relevant management policies to promote sound development of medical and healthcare program.

OBJECTIVE:To analyze the drug resistance of Klebsiella pneumoniae and drug use in patients infected with Klebsiella pneumoniae to promote rational drug use.METHODS:The Klebsiella pneumoniae separated during 2006 in our hospital was subjected to drug susceptibility tests and the results were given a statistical analysis.Meanwhile,the drug use in patients infected with Klebsiella pneumoniae was analyzed.RESULTS:The antibiotic resistance rates of 75% of the antibiotics were above 50%.On average,2.56 kinds of antibiotics were preventively or empirically used per in-patient.CONCLUSION:The drug resistance of Klebsiella pneumoniae is very serious.Clinical treatments should choose antibiotics rationally according to susceptibility tests.

OBJECTIVE:To explore the automated intelligent construction and effect of pharmacy intravenous admixture servic-es(PIVAS)in our hospital. METHODS:The main situation of automated intelligent construction and effect of PIVAS in our hospi-tal was introduced,the time and error rate of related links before(Jul.-Sept. 2016)and after(Oct.-Dec. 2016)the automated intelli-gent construction of PIVAS in our hospital were collected,and its effects were evaluated. RESULTS:Our hospital conducted auto-mated intelligent construction in selecting,labeling,sorting and delivering medicines in PIVAS and established related system and process construction. After automated intelligent construction,time for selecting medicines per medical order was shortened from (6.78±0.87)s to(2.65±0.71)s;time for labeling was shortened from(3.24±0.71)s to(1.41±0.55)s;time for sorting a bag of finished infusion was shortened from (13.37 ± 2.84) s to (5.33 ± 1.72) s;and time for delivering the same amount of infusion shortened from (35.64 ± 4.33) min to (18.12 ± 3.57) min (P<0.05). The error rate of selecting medicines was decreased from (2.35 ± 0.59)‰ to (0.26 ± 0.21)‰;error rate of labeling was decreased from (1.51 ± 0.45)‰ to (0.22 ± 0.10)‰;error rate of misclassifying in a wrong ward was decreased from(3.47±1.02)‰ to(0.17±0.10)‰;and error rate of delivering was decreased from(1.33±0.55)‰ to(0.13±0.11)‰(P<0.05). CONCLUSIONS:The automated intelligent construction in PIVAS of our hos-pital has improved work efficiency,reduced error rate and potential medication risk and improved management level in PIVAS.