In the process of gradual improvement of the socialist market economic system, there are many things to do, many things to do, and many things to do because of China's medical industry. Some domestic pharmaceutical factories have low production level, simple and repetitive operation, large quantity of imported drugs and too many circulation links, which leads to high drug pricing, fierce competition in the pharmaceutical market, vicious circle and dangerous clinical use; In such a market tide of drug competition, it is necessary to strictly control the quality of drugs to prevent counterfeit drugs, risky drugs, counterfeit drugs and inferior drugs from entering hospitals and human bodies and prevent medical accidents; It is of great significance to crack down on unhealthy trends in drug purchase and sale, ensure drug quality and make clinical drug use safe, effective and economical. In recent years, under the correct leadership of higher authorities and the joint efforts of hospital pharmacy comrades, our hospital has done a lot of serious and meticulous basic work and achieved fruitful results in hospital drug management.

1 Strict drug standards, and resolutely put an end to counterfeit and shoddy drugs flowing into hospital pharmacies.

Medicine is not only an important substance related to people's life and health, but also an extraordinary commodity. Quality is closely related to people's health. Fake and shoddy drugs can not only cure diseases, but also kill people. Hospital leaders stand at the height of protecting people's lives, health and safety. In drug procurement, they strictly control five customs: human feelings, purchase, storage, use and adverse reaction monitoring. Resolutely put an end to counterfeit and shoddy drugs entering hospital pharmacies. All drugs entering hospital pharmacies must be qualified products of legal companies and large and medium-sized pharmaceutical companies with complete licenses; The introduction of all new drugs must be strictly implemented by all departments, discussed by the hospital pharmacy management Committee, and introduced according to procedures; All purchased drugs and drug purchase plans must be approved by the hospital leaders before implementation; All purchased drugs must be strictly checked and accepted by the storekeeper before storage, and the quality is qualified, and the quantity, specifications and price meet the plan before storage; Any drugs with quality problems or less than half a year's validity will be returned decisively and will not be distributed. Through a series of measures, such as paying special attention to the five customs and five requirements, our hospital has completely guaranteed the quality of hospital medication and put an end to counterfeit and shoddy drugs entering the hospital pharmacy.

2. Strengthen drug management and improve the quality of effective use of drugs.

With the continuous improvement of the hospital's reputation and medical level, the amount of drugs has also increased significantly year by year, and the increasing amount of drugs in hospitals has led to an increase in the inventory of drug warehouses. So how can our hospital maximize the effective use quality of drugs on the premise of ensuring the normal supply of drugs? First of all, the hospital divides the unusual varieties into rescue drugs and non-rescue drugs. Rescue drugs should be stored in small quantities, and non-rescue drugs should be bought as needed. High-end drugs should be purchased temporarily, how much to use and how much to purchase. This not only controls the inventory, but also ensures the normal use of drugs; Secondly, the hospital strictly implements the post responsibility system, strengthens the supervision of drug expiration date, and all pharmacies regularly report the expiration date of drugs, and all drugs within the three-month validity period are reported. The pharmacy department organized a special meeting to focus on the drugs approaching the expiration date and form treatment opinions; Thirdly, it is forbidden for hospitals to return drugs. For special cases, the clinical department should fill in an ADR report form according to the patient's medical condition, and return it after being signed by the competent doctor and reviewed by the pharmacist, so that the medicine can be returned, which not only solves the problem of drug use for special patients, but also avoids the bad phenomenon of stealing medicine during drug return. At the same time, it also makes full use of the network advantages of electronic computers to realize drug network governance and form an integrated computer network governance system in hospitals. Through a series of control measures, the quality of effective use of drugs in our hospital has been greatly improved.

3. Do a good job in clinical pharmacy and improve the quality of medical services.

In order to use drugs scientifically, reasonably, safely, economically and effectively, continuously strengthen the management of clinical medication and improve the level of rational clinical medication, organize personnel to conduct in-depth clinical examination on the storage and use of drugs regularly or irregularly. In the case of shortage of pharmaceutical personnel, we overcame various difficulties and transferred two licensed pharmacists with high professional quality, high English level, strong sense of responsibility and positive thinking to set up a clinical pharmacy room to go deep into the clinic. According to the actual situation of doctors and patients, medication guidance and foreign language translation; Introduce the advanced treatment measures and methods of clinical drugs at home and abroad, especially for some new clinical drugs and special drugs, and communicate with clinicians in time; Feedback the symptoms and adverse reactions of patients to the manufacturer in time to achieve clinical service and clinical feedback information; So as to further strengthen the clinical rational use of drugs in pharmacy department and greatly improve the quality of medical service in our hospital.

4 combining dredging and blocking to combat unhealthy trends in drug purchase and sale

In recent years, due to the sharp increase in drug consumption in our hospital and the imperfection of the pharmaceutical market, some departments and illegal drug dealers have tried their best to intervene in drug distribution through various forms, and some manufacturers and drug dealers have sought relationships and entered the back door to promote sales in the hospital. Faced with the great temptation of some high-profit varieties, the leaders of our hospital have taken a series of measures to curb these unhealthy trends: first, the leaders of our hospital set an example, being honest and honest, and did not use their powers to introduce manufacturers and drug dealers, so that manufacturers could bid for competition on an equal footing; Secondly, the hospital uses conferences, sections, videos and other forms to carry out professional ethics publicity and education, so that everyone can remain poor and resist temptation. While enhancing their immunity, they use unannounced visits and other forms to crack down on drug rebates. Thirdly, manufacturers and drug dealers who violate hospital regulations will be permanently closed down, and doctors who violate regulations will be severely dealt with. The pharmacy department has also formulated a code of honesty and self-discipline, requiring relevant personnel not to accept banquets and gifts from manufacturers and drug dealers, and severely punish those who violate the regulations, thus putting an end to the phenomenon of direct contact with drug buyers for personal gain. Because of the combination of unblocking and blocking, it not only cracked down on all kinds of unhealthy trends in drug purchase and sale, but also greatly safeguarded the relationship between doctors and patients in the hospital and promoted all the work in our hospital. Because our hospital has taken a series of measures to pay close attention to drug management, it has ensured the quality of clinical medication, ensured the safety and effectiveness of clinical medication, and provided a good guarantee for the improvement of medical technology, so that there has never been a medical accident caused by drug quality in our hospital, and maintained the quality of our third-class first-class hospital.