(1) unified management: bring all drugs and drug attendants in the hospital into the pharmacy department management, ensure that the hospital fully implements the standardized pharmacy system, make the pharmacy work fully cooperate with the overall work of the hospital, and fully reflect the importance of the pharmacy in the whole hospital work.
(2) Special person in charge: Although the Pharmaceutical Affairs Management Committee should take full responsibility, it should still directly define the person in charge of drug quality management and formulate the post responsibilities of all kinds of personnel, mainly including: pharmacy director, pharmacy director, pharmacy buyer, pharmacy keeper and drug dispensing personnel, so that all pharmacy personnel can clearly define their respective responsibilities and ensure the smooth development of all work.
(3) Standardize the quality management system, which mainly includes: the system of drug purchase acceptance, storage maintenance and outbound review; Management system for special drugs and precious drugs; Service quality management system, quality accident and error handling and reporting system, drug quality information collection system, prescription management system, returned drug management system and unqualified drug management system; Pharmacy reward and punishment system, etc. The system ensures the standard of hospital pharmacy and the safety and effectiveness of patients' medication, and regularly checks and evaluates the standard of operation and record.
I. Personnel management
1. Personnel engaged in drug quality management, procurement, acceptance, storage and deployment shall receive training in drug laws and regulations and professional knowledge, and establish personal files. Staff who are in direct contact with drugs shall go to medical institutions or disease prevention and control institutions designated by the drug supervision and administration department for health examination every year, and establish health records.
2. Learning system
Personnel engaged in drug quality management, procurement, acceptance, maintenance, storage and deployment shall receive training in drug laws, regulations and professional knowledge, and the weekly concentrated study time shall not be less than 1 class hour.
Second, drug management
1, drug procurement and acceptance
On the premise of ensuring quality, drug procurement should purchase drugs from legally qualified drug production and drug wholesale enterprises, strictly examine the qualifications of suppliers and drug buyers and sellers, and establish supplier files.
Establish and implement the incoming inspection and acceptance system, and the inspectors will verify the packaging, specifications, labels, instructions, certificates and other marks of drugs one by one; Do not meet the requirements, shall not be purchased.
Establish a true and complete drug purchase acceptance record, so that tickets, accounts and goods are consistent. Purchase acceptance records shall be kept for more than 1 year, but not less than 3 years.
2, the custody of drugs
Set up pharmacies and drug stores that are suitable for the scope of diagnosis and treatment and the scale of drug use, and separate them from diagnosis and treatment. The interior walls, ceilings and floors of pharmacies and drug depots should be smooth and flat, and the doors and windows should be tight.
The medicine is stored at normal temperature (0-30℃), cool (not higher than 20℃) and refrigerated (2- 10℃), and the relative humidity is kept between 45-75%.
Drugs with special requirements for storage shall be stored in accordance with the conditions and relevant regulations indicated on the drug instructions or packaging. Do a good job in monitoring and managing temperature and humidity. If the temperature and humidity exceed the specified range, it should be adjusted and recorded in time.
Drug maintenance personnel shall conduct regular inspection and maintenance, and make records. Inventory drugs are maintained once a quarter, display drugs are maintained once a month, and key varieties are maintained once every two months.
Hidden dangers affecting drug quality should be eliminated in time; The expired, polluted and deteriorated unqualified products shall be disposed of in a timely manner in accordance with relevant regulations.
3, the deployment of drugs
The personnel who prepare drugs must have relevant pharmaceutical qualifications.
The drugs prepared should be suitable for the scope of diagnosis and treatment, and must be based on the prescriptions or doctor's orders issued by registered medical practitioners, assistant medical practitioners or rural doctors. No drugs can be prepared without a doctor's prescription.
Drug distribution should follow the principles of "first production, first output", "first output in the near future" and distribution by batch number.
When dispensing and disassembling drugs, an independent dispensing and disassembling place or special operation desk should be set up according to clinical needs, and regular cleaning and disinfection should be carried out to keep the working environment clean and tidy.
The containers and tools used should be cleaned and disinfected regularly to prevent drug contamination; Work system management shall not be directly connected with bare hands during disassembly.
(1) unified management: bring all drugs and drug attendants in the hospital into the pharmacy department management, ensure that the hospital fully implements the standardized pharmacy system, make the pharmacy work fully cooperate with the overall work of the hospital, and fully reflect the importance of the pharmacy in the whole hospital work.
(2) Special person in charge: Although the Pharmaceutical Administration Committee should take full responsibility, it should directly define the person in charge of drug quality management and formulate the post responsibilities of various personnel.
Mainly includes: pharmacy director, pharmacy manager, pharmacy buyer, pharmacy keeper, pharmacy distributor and other job responsibilities. , so that all staff in the pharmacy can clearly define their respective responsibilities and ensure the smooth development of all work.
(3) Standardize the quality management system, which mainly includes: the system of drug purchase acceptance, storage maintenance and outbound review; Management system of special drugs and precious drugs.
Service quality management system, quality accident and error handling and reporting system, drug quality information collection system, prescription management system, returned drug management system and unqualified drug management system; Pharmacy reward and punishment system, etc.
The system ensures the standard of hospital pharmacy and the safety and effectiveness of patients' medication, and regularly checks and evaluates the standard of operation and record.
Extended data:
Drug deployment management
1. After receiving the prescription, pharmacists should first read the prescription carefully, mainly to review the drug names in the prescription.
Weighing, dosage and usage. If you find that the name of the drug is wrong, the dosage is improper or the compatibility is contraindicated, you should contact the prescribing doctor, and then prescribe the drug after re-examination and correction by the original doctor.
2, strict prescription and computer check, in drug specifications, quantity, content, total amount.
Only when they are all correct can they be deployed.
3, prescription written in the order of prescription, pay attention to the prescription content and dispensing drugs.
Sex, in case of drug discoloration, mildew, expired, failure shall not be issued, for large infusion,
Check whether the bottle mouth is loose and the solution is clear before leaving the factory. If there is any doubt about the drug, it needs to be verified before preparation.
4, collaborative formula, the receiving pharmacist after the completion of the drug together with the prescription to the audit pharmacist.
5. Dispensing is the last stage of drug preparation. After the pharmacist checks the medicine, he will weigh it according to the prescription.
Call the patient's name and pay attention to his gender and age before sending, and explain the usage and precautions to the patient.
6, need special instructions (such as pain, fever or one-time oral, etc. ).
Focus on giving advice to patients.
7, the allocation of narcotic drugs, to the date of registration, the patient's name, indications, detailed content.
Address, name, specification, quantity, prescribing doctor, prescription pharmacist, etc. The situation of drugs used, so as to track and feedback the use of narcotic drugs by patients.
8. Pay attention to the prescription limit when dispensing. Prescription shall generally not exceed 7 days; Emergency treatment
Prescriptions should generally not exceed 3 days; For some chronic diseases, senile diseases or special circumstances, the prescription dose may be appropriately extended, but the doctor should indicate the reasons. See special drug management for details.
9, drug preparation, prescription and audit pharmacists should sign the prescription to show responsibility.
10, the prescription is valid once.
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