Annual Work Plan for Pharmacists 1
At the end of 20 14, I completed the training of clinical pharmacists in the First Affiliated Hospital of Jilin University and returned to the hospital. Our hospital began to establish a clinical pharmacist system. After a period of preparation, with the great attention and strong support of President Wang Qi and Vice President Xuan Jihao, the Clinical Pharmacy Room was formally established in June 2020. Although the related work has been carried out by one person due to the shortage of human resources since its establishment, through unremitting efforts and study for half a year, I have accumulated rich experience in clinical pharmacy, successfully completed the scheduled work objectives and tasks, and made a detailed work plan for the smooth development of clinical pharmacy in the future. At present, the clinical pharmacy work plan that our institute has carried out and will continue to carry out is as follows:
1. Formulated the working system and annual working target of clinical pharmacy.
The latest "Demonstration Work Plan for Clinical Pharmacists" first defines the responsibilities and systems of the clinical pharmacy room, and at the same time formulates the annual work plan and objectives for 2020, and completes the monthly work summary in time. Make its work institutionalized, its operation streamlined and its responsibilities clear.
Second, strengthen prescription review and punishment for irrational drug use.
Clinical pharmacists randomly check 30 inpatient medical records and more than 500 inpatient electronic medical records every month, make prescription comments and irrational drug use analysis on our hospital's doctor's orders and prescriptions once a month, and feed back comments and suggestions to the medical political department. At the same time, relevant systems and regulations have been formulated, such as prescription review system and regulations on the management of clinical rational drug use.
Third, special antibacterial drugs
Remediation actively participated in the special treatment of clinical application of antibacterial drugs in hospitals and played a substantial and important role in the implementation of three-level management of antibacterial drugs. At present, the utilization rate of prophylactic use of antibacterial drugs in class I incision in our hospital is generally high, which can not meet the requirements of superiors at all. The utilization rate of antibiotics in inpatient and outpatient departments is counted and evaluated by departments or doctors on time every month. In addition, according to the regulations, the rationality of the use of antibiotics in the medical records and outpatient prescriptions of discharged patients is evaluated regularly.
When commenting on the inpatient medical records, I found the following problems in the rational use of antibacterial drugs in our hospital:
1) The usage rate of antibacterial drugs is too high.
2) Antibacterials are used for too long.
3) The selection of antimicrobial agents is unreasonable.
4) The single dose is unreasonable
5) The timing of preventive administration is unreasonable.
6) The frequency of antimicrobial drug administration is unreasonable.
7) It is unreasonable to replace antibacterial drugs.
8) unreasonable drug combination
9) There is no evidence such as the use of antibacterial drugs.
In April and June, the whole sample of electronic prescriptions for outpatient and emergency departments was reviewed, and the following problems were found:
1) No diagnosis.
2) The diagnosis is inconsistent with the medication.
3) the frequency of administration is unreasonable
4) The single dose is unreasonable
5) Repeated medication
6) unreasonable drug combination and other problems.
Five, strive to create and create an academic atmosphere
Always pay attention to and strengthen the cultivation and improvement of their professional quality and skills, learn from old clinical experts and professors with an open mind, study hard, strive to create and create an academic atmosphere, and create a learning department.
VI. The current projects are as follows: 1) Write on time every month:
1, three medicine calendars
2. Case analysis
3, case discussion in duplicate.
(2) Projects under construction:
1, which has been carried out in some treatment areas: (1) Drug intervention and record sheet filling; (2) drug information consultation and fill in the record form; (3) pharmaceutical evaluation of inpatients and filling in the record form; (4) Clinical Practice Record Sheet; (5) Attend the consultation and fill in the consultation record sheet; (6) Investigate the drug use of inpatients and fill in the form.
2. The next plan: (1) pharmacy education for inpatients and record filling; (2) medication guidance and record filling for discharged patients. 3) Statistical indicators or information reported to hospitals and medical departments on time every month: Statistics on the proportion of antibacterial drug expenses, total amount of antibacterial drug expenses, DDDS, utilization rate and other indicators by hospital, inpatient, outpatient, emergency and doctor categories, as well as the ranking of the top ten drugs in hospitals and the top ten doctors.
Seven. Problems and Shortcomings Although the clinical pharmacy work has made small achievements and progress in the past six months, many work projects have not been put into operation due to factors such as insufficient personnel and imperfect computer software, which is still far from the advanced level of the whole province and the whole country. Specific performance in:
1. The working mode of clinical pharmacy is still being explored and explored, and all work needs to be further standardized and concretized. The implementation and execution of the clinical pharmacist system need to be improved and improved.
2. Clinical pharmacists lack deep clinical practice experience and ability, and their participation in clinical rational drug use needs to be further strengthened and improved; 3. Lack of clinical pharmacy talents. Hospitals should strengthen the introduction of talents in this field and vigorously support the training and continuing education of on-the-job clinical pharmacists.
4. The basic hardware facilities necessary for clinical pharmacy room, such as reference room and instrument room, need to be reasonably solved and improved by the hospital.
Pharmacist's annual work plan II
The first is to study relevant laws and regulations.
Continue to strengthen the medical staff in our hospital's study of the Drug Administration Law, Prescription Management Measures, Narcotic Drugs Management Measures, Clinical Application Guiding Principles of Antibacterials and other relevant laws and regulations, strengthen the medical staff's understanding of drug-related laws and regulations, and comprehensively improve their professional ethics. Strengthen the quality management of prescription writing, randomly check and evaluate outpatient prescriptions every month, strictly implement the prescription management system and prescription comment system in our hospital, standardize prescription writing, and report unreasonable situations in real time.
Second, strictly control and prevent the abuse of antibacterial drugs.
In order to further strengthen the management of clinical application of antibacterial drugs in our hospital, promote the rational use of antibacterial drugs, improve medical quality, reduce the economic burden of patients, prevent excessive use and abuse, and control the proportion of drug expenses in the whole medical activities, the Regulations on the Administration of Antibacterials in Our Hospital are formulated.
Regularly check prescriptions and make comments. Prescriptions that violate the Guiding Principles of Clinical Application of Antibacterials should be communicated first. If they are not changed after communication, they should be reported to the medical department for processing. Other antibacterial drugs restricted by hospital regulations should be registered and signed by the director of infection control department after the prescription is signed by the director of the department, and then get the medicine in the pharmacy. It can be used beyond the authority in an emergency, but the number of prescriptions is limited to 1 day. Each prescription of antibacterial drugs for outpatient and emergency departments shall not exceed 3 days.
Third, strengthen the management of special drugs
Keep and store narcotic drugs and psychotropic drugs of category I in strict accordance with the five specialties (special prescription, special account book, special person in charge, special counter lock and special book registration) in the Measures for the Administration of Narcotic Drugs. It is necessary to strictly implement the registration of special party, special account, special responsibility, counter lock and special account, all of which are indispensable. Unqualified prescriptions should be returned immediately, and no drugs should be distributed. Prescriptions of narcotic drugs and psychotropic substances of category I must be strictly examined before dispensing, and prescriptions that do not meet the requirements must be returned. For narcotic drugs and psychotropic drugs of Class I, no artificial prescription or leadership prescription is allowed.
Fourth, make a list of essential drugs in hospitals.
Formulate the list of essential drugs in our hospital in 2020, ensure the supply of drugs in the list, ensure the demand for clinical drugs, and do a good job in online drug procurement.
Five, improve the quality of pharmaceutical services and drugs.
Focus on improving quality and gradually establish a quality and safety system. Paying close attention to quality and safety, strengthening scientific management and improving overall performance are the keys to the survival and development of pharmacies. Strengthen the standardized management of service process, highlight the functions of departments, and supervise and inspect the quality of drugs throughout the process to ensure the safety and effectiveness of clinical medication; Strengthen the guidance of rational use and clinical application of antibacterial drugs, strictly monitor the hierarchical management of antibacterial drugs, and reduce the abuse of antibacterial drugs. In particular, strengthen the rational use of drugs by pregnant women and children. Regularly analyze the shortcomings of service work, find out the existing problems, and draw inferences from others. Make the whole service process a process of constant feedback, constant adjustment and constant standardization, and strengthen and promote the standardization and standardization of service work as a whole.
Hospital pharmacy is the window, so as to serve with a smile and let patients have a good mood. When distributing medicine, it should be carried out in strict accordance with four checks and ten pairs to prevent mistakes and accidents.
Sixth, strengthen the monitoring of adverse reactions.
Further standardize the monitoring of adverse drug reactions, closely cooperate with relevant departments such as medical care and nursing, and report adverse drug reactions in time. Strengthen the work of pharmaceutical service window to provide pharmaceutical services for patients more directly and comprehensively.
Seven, improve the performance appraisal system.
Formulate the professional efficiency assessment system of the pharmaceutical department, refine the assessment indicators, adhere to the implementation of comprehensive quality assessment, strictly implement various systems and assessment standards, implement flexible working system, rectify labor discipline, and standardize the work of various departments.
Eight, strengthen the training of subject talents.
Formulate the system of continuing learning and regular assessment of professional knowledge in pharmacy department, carry out regular business learning and training of service skills and attitudes, improve the professional quality of pharmacy personnel and continuously improve the patient satisfaction rate. Encourage employees to learn computer knowledge, improve work efficiency, and organize more exchanges between pharmacy staff and clinicians to promote learning and progress. Actively participate in all kinds of academic lectures organized inside and outside the hospital, constantly improve the level of business technology, increase business cultivation, improve the level of knowledge, and strive to obtain the qualification of medical technicians in 2020; It is planned to organize an in-class activity of pharmacy once a month in 2020. In response to the call of the superior health department, we insist on spot-checking and commenting on 50 prescriptions in various clinical departments every month.
In order to improve the quality of drugs, improve the rationality of clinical medication, promote the innovative development of departments, and create more and greater social and economic benefits for our hospital, with the guidance and support of hospital leaders, general practitioners will join hands, concentrate their wisdom, pool their strength, and work hard with Qi Xin. Taking pharmaceutical service as the goal and quality as the center, we will do our bit for the development of patients and pharmacy!
Pharmacist's annual work plan III
In 2020, the pharmacy department will accelerate the pace of discipline construction and personnel training, intensify the intensity and depth of drug quality management, deepen reform, be determined to innovate and put forward new practical goals according to the overall goal of strengthening the construction of hospital medical ethics, advocating three good and one satisfaction and pharmaceutical development. The following is the work plan of pharmacy in 2020.
First, make a list of essential drugs in hospitals.
According to the results of drug selection by the Pharmaceutical Affairs Committee of our hospital, the list of essential drugs in our hospital in 2020 is formulated to ensure the supply of drugs in the list and ensure the demand for clinical drugs.
Two, seriously implement the relevant system of pharmaceutical affairs management.
Carry out the daily work of the Pharmaceutical Committee, hold regular meetings of the Pharmaceutical Committee, collect clinical medication opinions and new drug applications, do a good job in the preliminary examination and approval of new drugs and adverse reactions and clinical feedback in the later application, meet the needs of clinical medication, and ensure the safety of people's medication.
Third, strengthen theoretical study and improve the political and ideological awareness and professional quality of all staff.
Regularly organize general practitioners to seriously study the spirit of various documents from superiors and hospitals, regularly carry out business study and service skills training, and put them in place, consciously resist unhealthy trends in the industry, take improving window service as their own responsibility, take quality first and patients first as their concept, and serve the people wholeheartedly.
Fourth, strengthen the research on antibacterial drugs and further strengthen the Ministry of Health.
Document No.38 and the Clinical Guiding Principles of Antibacterials, continue to implement the relevant regulations on the clinical application of antibacterial drugs, strive to control all indicators of antibacterial drugs within the scope, and strengthen the management of rational use of antibacterial drugs in Class I incision surgery.
Five, strengthen drug management, to ensure the clinical drug demand and patient medication safety.
Conduct spot checks on the work flow in the class and the work quality of each post regularly every month, and urge the employees of the department to seriously implement various management systems.
Strengthen drug quality management, strictly control the quality of incoming goods acceptance, warehousing maintenance and other links. To prevent counterfeit and shoddy drugs from being mixed into our hospital and avoid major medical accidents and economic losses caused by expired drugs. Check the quality and validity of drug reserves in wards, pharmacies and pharmacies every month, summarize the inspection results, deal with problems in time, and ensure the safety of patients' medication.
Six, improve the workflow, to prevent errors and accidents.
Pharmacy window service is an important part of hospital service, which not only embodies the mental outlook and civilized quality of the hospital, but also bears the great responsibility of ensuring the safety of people's medication. In line with the attitude of being responsible for patients and yourself, we must improve the workflow, and everyone who checks, distributes and fills medicines should be responsible. After two inspections, mistakes and accidents can be basically prevented, thus reducing patients' complaints and putting an end to medical accidents.
Strengthen the management and use of narcotic drugs and organize relevant personnel to study hard? Provisions on the administration of narcotic drugs and psychotropic drugs in medical institutions in Anhui Province? .
1, establish a system for the procurement, acceptance, storage, custody, distribution, dispensing, use, supervision, loss reporting, destruction, loss and theft of narcotic drugs and psychotropic drugs, on duty and inspection; 2, formulate the responsibilities of each post personnel; 3, every quarter to inspect the management of narcotic drugs and psychotropic drugs, and make records, timely correct existing problems, eliminate hidden dangers; Hold regular meetings to summarize the problems existing in the management of narcotic drugs and psychotropic drugs, put forward suggestions for improvement, and revise relevant systems in time; 4. Regularly train and assess the relevant laws, regulations, departmental rules, professional knowledge and professional ethics of pharmacy, pharmacy, nursing, medical administration and safety departments involved in the use and management of narcotic drugs and psychotropic drugs.
Eight, the establishment of clinical pharmacists system, the initial development of clinical pharmacists.
Next year, 1 person will be sent to a higher-level hospital for short-term study, and then to the clinical pharmacist training base for training. After obtaining the qualification, I will carry out clinical pharmacy work in our hospital.
Nine, according to? Prescription review system? , once a month for prescription review.
Mainly check the standardized use of antibacterial drugs, the suitability of drugs, the dosage of drugs, and the standardized writing of prescriptions, focusing on the rationality analysis and evaluation of large prescriptions, and reporting the evaluation results of prescriptions in the hospital.
Ten, strictly enforced? Double decimal system?
Statistics the sales of the top ten drugs every month, and the top ten drugs that have been sold continuously will be punished by reducing the purchase price and limiting the sales quantity respectively, which will be given after the research of the hospital pharmacy Committee or the consent of the competent dean. According to the statistics of the top ten doctors who prescribe drugs every month, the number of a single variety exceeds 300, and the total number of two varieties exceeds 600. The doctor who is the first in each variety is reported to the hospital for punishment.
XI。 Continue to monitor adverse drug reactions (ADR) and medical device adverse events.
ADR work will continue to be included in the year-end assessment of the department, and the top three will be awarded according to the number of cases completed by the department, and the advanced units at the city and county levels will be maintained. The monitoring of medical device adverse events in our hospital is still in a backward state. In the new year, we must strengthen communication and exchange with the nursing department, give full play to the role of head nurses, improve the reporting level of medical device adverse events, and make greater progress in this work.
Twelve, improve the performance appraisal system
According to the in-hospital performance appraisal method, formulate the performance appraisal system of pharmacy department, refine each appraisal index, adhere to the implementation of comprehensive quality appraisal, implement flexible working system through strict implementation of various systems and appraisal standards, rectify labor discipline, and make the work standardized, procedural and standardized.
In the new year, the pharmacy department will comprehensively strengthen quality management, unite people's hearts, enhance the vitality and vitality of pharmaceutical services with new ideas, new ideas and new measures, and accelerate the construction and development of the department with a spirit of seeking truth from facts and a solid style.
Pharmacist's Annual Work Plan IV
The first is to study relevant laws and regulations.
Continue to strengthen the study of pharmaceutical personnel on the Drug Administration Law, Prescription Management Measures, Management Measures, Guiding Principles for Clinical Application of Antibacterials and other relevant laws and regulations, strengthen the understanding of drug-related laws and regulations, and comprehensively improve the professional ethics of pharmaceutical personnel. Strengthen the quality management of prescription writing, randomly check and evaluate outpatient prescriptions every month, strictly implement the prescription management system and prescription comment system in our hospital, standardize prescription writing, and report unreasonable situations in real time.
Two, to prevent the abuse of antibacterial drugs, regular spot checks and comments on the prescription.
In order to further strengthen the management of clinical application of antibacterial drugs in our hospital, promote the rational use of antibacterial drugs, improve medical quality, reduce the economic burden of patients, prevent excessive use and abuse, and control the proportion of drug expenses in the whole medical activities, the Regulations on the Administration of Antibacterials in Our Hospital are formulated.
Regularly check prescriptions and make comments. Prescriptions that violate the Guiding Principles of Clinical Application of Antibacterials should be communicated first. If they are not changed after communication, they should be reported to the medical department for processing. Each prescription of antibacterial drugs for outpatient and emergency departments shall not exceed 3 days.
Third, strengthen the management of special drugs
In strict accordance with the "management measures" in the five specialized? Special prescription, special account book, special person in charge, counter lock, special account book registration? Custody and storage _ and a class of psychotropic drugs. It is necessary to strictly implement the registration of special party, special account, special responsibility, counter lock and special account, all of which are indispensable. Unqualified prescriptions should be returned immediately, and no drugs should be distributed. For _ prescription and prescription of psychotropic drugs of Class I, each prescription must be strictly examined before dispensing, and any prescription that does not meet the requirements must be returned. For _ and a class of psychotropic drugs, put an end to artificial prescriptions and leadership prescriptions.
Fourth, make a list of essential drugs in hospitals.
Make the basic list of drugs used in our hospital in _ _, and ensure the supply of drugs in the list, ensure the demand for clinical drugs, and do a good job in online drug procurement.
Five, improve the quality of pharmaceutical services and drugs.
Focus on improving quality and gradually establish a quality and safety system. Pay close attention to quality and safety, strengthen scientific management and improve overall performance. Strengthen the standardized management of service process, highlight the functions of departments, supervise and inspect the quality of drugs throughout the process, ensure the safety and effectiveness of clinical medication, strengthen the guidance of rational use and clinical application of antibacterial drugs, strictly monitor the hierarchical management of antibacterial drugs, and reduce the abuse of antibacterial drugs. Regularly analyze the shortcomings of service work, find out the existing problems, and draw inferences from others.
Make the whole service process a process of constant feedback, constant adjustment and constant standardization, and strengthen and promote the standardization and standardization of service work as a whole.
Pharmacist's annual work plan five
First, pharmacists participate in clinical practice.
1, attend rounds in clinical departments as much as possible every day, provide rational drug use suggestions for clinicians and patients, establish drug use calendars for key patients, and write three drug use calendars every month.
2. Cooperate closely with the clinic, and participate in clinical consultation and discussion of death records in time when clinical needs arise.
Second, the prescription spot check
1, _ and prescriptions of psychotropic drugs of category I: write prescriptions, check all prescriptions of this category for rational drug use, and report the problems found to the dispensing department in time.
2. Prescriptions of psychotropic drugs of category II: randomly select 100 prescriptions of this category every month for prescription writing and rational drug use inspection.
3. General prescriptions (including emergency prescriptions and pediatric prescriptions): assist the dispensing department and the department director to complete the summary of such outpatient prescriptions every month.
4. According to the requirements of Prescription Management Measures, fill out the prescription evaluation form every month.
Every issue of Clinical Drug News publishes the problems in prescriptions, reminding clinicians to pay attention to prescription writing and rational drug use.
Third, the medical record spot check
1, randomly select 2 inpatient medical records of each department every month, check the rationality of drug use (especially the rationality of antibacterial drug use), feedback the inspection results to the clinic and score them, and then submit them to the quality control department for inclusion in the medical record quality assessment.
2. Randomly select 10 inpatient medical records from three clinical departments every quarter as planned, check the usage of antibacterial drugs in the top 10, analyze the inspection results and feed them back to the clinical departments.
3. Check 30 surgical records every month, check the use of antibiotics during perioperative period, and analyze the inspection results.
4. Investigate the use of antibacterial drugs in 100 inpatient medical records every month, and make a summary analysis every quarter.
Fourth, drug use analysis
The amount and quantity of outpatient drugs and inpatient drugs are statistically analyzed every quarter to analyze the rationality of drug use.
Verb (abbreviation of verb) Adverse drug reaction
Supervise the collection of adverse drug reactions in clinical departments, guide relevant personnel to fill in the adverse drug reaction report form, and report it to Sichuan Adverse Drug Reaction Monitoring Network before 25th of each month.
Six, "Clinical Medicine News"
Published quarterly 1 issue of clinical drug news, including prescription analysis, drug use analysis, adverse drug reactions, information corner and other columns, four issues throughout the year.
Seven, drug quality inspection
Check the appearance quality of three drugs (oral drugs, injection drugs and external drugs 1) in the pharmacy every month.