Introduction: Summary of pharmacy and medication management in xx years Under the careful guidance of leaders at all levels, through unremitting efforts and improvement, our hospital's pharmacy and medication management has made remarkable progress in xx years. The following is my summary of hospital pharmacy management. Welcome to read the reference.
The following aspects are summarized as follows:
First, the pharmacy department setup and staffing situation basically meet the requirements; The supervision and management of the Pharmacy and Drug Treatment Committee has actively promoted the pharmacy work in our hospital.
In xx, 1 undergraduate and 2 junior college students were introduced to the Pharmacy Department. By the end of xx, in 65438+February, there were undergraduate students 12, junior college students 7 and technical secondary school 1 person. Among them, there are 3 pharmacists in charge, with primary title 17. Standardized training and continuing education for all pharmaceutical professional and technical personnel in batches.
In addition, under the supervision and management of the Pharmaceutical Affairs and Drug Therapy Committee, the pharmaceutical affairs management in our hospital reached a new level in xx. The pharmaceutical affairs management meeting held on time every quarter has actively promoted the sunny procurement of drugs, rational and standardized clinical use of drugs, the management of ephedrine and other special drugs, and the development of clinical pharmacy. See the specific summary for the specific progress.
Two, according to the relevant provisions, standardize the procurement, storage and dispensing of drugs, and strive to control the quality of drugs and ensure the supply of drugs.
1. Drug selection and drug procurement: In the first half of xx, combined with the actual clinical situation in our hospital, the Pharmaceutical Affairs and Drug Therapy Committee discussed and formulated the drug prescription set and the basic drug supply catalogue in our hospital. Among them, there are 35 kinds of antibacterial drugs, and the variety specifications and structure are reasonable. Abide by the provisions of "one product and two specifications" and increase or decrease the drug rate by ≤5%. Drug procurement strictly implements the drug procurement and supply system. Evaluate the drug reserve every month, and preliminary statistics show that it is 93% in xx years.
The global inventory turnover rate of commonly used clinical drugs is 10- 15 days, which is relatively higher than 87% of xx. In addition, in addition to the monthly statistics on the implementation of drug procurement and supply, the procurement situation is analyzed and summarized every six months, problems are found and improvement measures are given. The selection conditions are "winning the bid, low price and high level", and the occurrence of irregular procurement behavior is resolutely put an end to while ensuring adequate drug supply.
2. Drug storage and quality control: drug storage strictly follows relevant management systems. In xx, the list of high-risk drugs in our hospital was revised and warning signs were set up. Re-label "visible, audible and multi-specification" drugs to avoid medication errors and ensure medication safety. Special drugs and emergency drugs should strictly implement the relevant regulations. "Hemp, refined" drugs strictly implement the "three-level, five-specialty" management system and process, prescription drugs can be traced back to patients, and there are continuous improvement measures. Special medicines such as first aid and spare medicines are subject to monthly verification, reflecting continuous improvement. In addition, in order to promote the rational layout of pharmacy department, the drug storehouse of our hospital was moved from the second floor to the first floor in xx, which greatly improved the timeliness and efficiency of drug collection.
The drug quality monitoring management team in our hospital has a clear division of labor, strictly follows the drug quality control management procedures and strictly implements the drug quality management system. 20 kinds of drugs are randomly selected in the dispensing room every month for quality spot check, and analyzed and summarized. By comparing the quality spot checks of xx from June/KLOC-0 to February 65438, it can be seen that the qualified rate of all inspections can reach above 99.8%. Except for a few tablets that occasionally cracked and sodium chloride ampoules were broken, all other items were qualified.
3. Drug dispensing: Drug dispensing strictly implements the dispensing system of "four checks and ten pairs", and seriously implements the operation processes such as review, dispensing, review and drug distribution. The qualified rate of monthly prescriptions in xx years is ≥99%, and the dispensing error rate is far less than 0.0 1%. Xx years * * * dispensing 268047 person-times, about 498000 prescriptions, two harmless dispensing.
Mistake. In the past xx years, the number of outpatients and prescriptions in our hospital has been greatly improved, but only 1 dispensing error occurred in the whole year, and the dispensing work has made relative progress. In 20 16, all dispensing personnel will seriously implement the dispensing system and operating procedures, strive for zero errors, continue to seriously implement the relevant systems and regulations such as drug exchange, sub-packaging and recall, and make implementation records to ensure the safety of patients' medication.
Three, actively carry out prescription, doctor's advice audit, supervision, intervention and promote clinical rational drug use.
1. Actively and comprehensively carry out prescription reviews and doctor's advice reviews.
Our hospital comprehensively carried out prescription review in xx years. Only 100 outpatient and emergency prescriptions were reviewed every month in xx years, and not a single doctor's order was reviewed. All outpatient prescriptions of antibacterial drugs, 7-day general prescriptions of departments, 100 emergency prescriptions and 30 hospital orders in xx years were audited, and intervention measures such as unreasonable drug use notification and punishment were taken, which fully reflected the accumulation of quantity. Judging from the proportion of unqualified prescriptions, the unqualified rate of xx reached 30% in several months. Compared with the unqualified rate of xx 1%, we can see that the standardization and rationality of prescriptions in our hospital have made a qualitative leap. To sum up, the work of prescription review in our hospital has achieved gratifying results in xx years. 20 16 continue to deepen the review of prescriptions and doctor's orders, and improve the rationality of clinical medication, especially antibacterial drugs.
2. Strengthen the management of overdose.
Over the past xx years, we have not only actively carried out over-the-counter drug reviews and supervised the implementation of the over-the-counter drug system, but also collected the over-the-counter drugs commonly used in clinic and discussed them with the Drug Administration, formulated the over-the-counter drug catalogue in our hospital, and further standardized the over-the-counter drugs in our hospital.
Fourth, give priority to the rational use of essential drugs.
On the basis of strictly implementing the relevant systems and measures of giving priority to the use of essential drugs, we actively carried out basic drug training in xx years; Actively publicize the necessity and importance of giving priority to the use of essential drugs; Monitor, analyze and summarize the monthly use of essential drugs; His system clearly identifies essential drugs.
Five, actively carry out the work to promote the rational use of antibacterial drugs in clinic.
At the end of xx, according to the requirements of the relevant documents of the Health Planning Commission and the actual situation of our hospital, the management committee of clinical rational use of antibacterial drugs in our hospital was readjusted, and the division of responsibilities of each member was clarified. Under the supervision and guidance of the Management Committee for Clinical Rational Use of Antibacterials, we will comprehensively carry out the supervision and management of rational use of antibacterial drugs in our hospital. In addition to antimicrobial prescription and doctor's advice review, there are the following aspects:
1. Strictly implement the classification management system of antibacterial drugs and the measures to ensure the implementation of the classification management system. Using computer system to strictly limit the prescription right of antibacterial drugs at different management levels to prevent illegal prescriptions from going beyond the level. In particular, strictly implement the system of using super-grade antibacterial drugs. After use, the rationality of its use is evaluated according to the corresponding evaluation standards.
2. Comprehensively monitor the clinical application indicators of antibacterial drugs, summarize and analyze them regularly, and give appropriate intervention at the right time to promote the rational use of antibacterial drugs. ① The utilization rate of antibacterials in outpatient department was 65438 08.45%, that in emergency department was 27.565438 0%, and that in hospital was 46.76%. Compared with xx years, the utilization rate of antibacterials in outpatient department was 20.2 1%, that in emergency department was 32.72%, and that in inpatient department was 5 1.70%, all of which were significantly decreased, which met the relevant requirements. (2) In July of 2)xx, our hospital began to treat me.
Monitor preventive medication for incision surgery every day. By the end of xx, 100% of the preventive drugs used in class I incision surgery in our hospital were used 0.5-2 hours before operation and stopped within 24 hours, with a utilization rate of about 30%. ③ From XX, our hospital began to monitor and analyze the use of intravenous antibiotics. Through the quarterly analysis and summary, we can see that the intravenous use of antibacterial drugs in our hospital is relatively standardized, accounting for about 10% of the use of antibacterial drugs. ④ Monitor clinical microbial specimens and bacterial drug resistance every quarter. Every quarter, the hospital infection department, pharmacy department and laboratory department jointly publish the analysis report of bacterial resistance, and give some suggestions on rational use of antibacterial drugs in combination with bacterial resistance in our hospital. ⑤ Strengthen the training of clinical rational use of antibacterial drugs. In August of xx, Director Dong Fang of the Second Municipal Hospital trained all medical staff in the xx edition of the Guiding Principles for the Use of Antibacterials. After training, qualified doctors can prescribe antibacterial drugs according to their authority, and pharmacists can adjust antibacterial drugs prescriptions.
Adverse Drug Reactions Monitoring of Intransitive Verbs
In xx years, our hospital reported 127 cases of adverse drug reactions. Among them, there were 9 cases of general adverse reactions11and 8 cases of serious adverse reactions. 39 cases of serious adverse reactions and general adverse reactions were added.
Summary: Over the past xx years, our hospital has made remarkable progress in all aspects of pharmacy and medication management, especially in prescription review and clinical rational use of antibacterial drugs. I look forward to the improvement in all aspects of pharmacist management in our hospital on 20 16, and strive for a new level!
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