If there are problems in the storage, processing and preparation of traditional Chinese medicine, it will not only affect the curative effect of traditional Chinese medicine, but also affect the safety of patients. Therefore, the quality management of traditional Chinese medicine is very important. Traditional Chinese medicine contains a lot of elements such as protein, vitamins and sugar. If not properly preserved, these elements will change, affecting their efficacy, making patients feel uncomfortable and even endangering their health. Relevant research shows that there are many factors that affect the quality of traditional Chinese medicine, such as the processing of traditional Chinese medicine, the storage environment of traditional Chinese medicine, the quality of traditional Chinese medicine decoction and so on. In order to further improve the quality of Chinese medicine management in grass-roots hospitals, the author investigated the Chinese pharmacy in grass-roots hospitals, analyzed the problems existing in the quality management of Chinese medicine in Chinese pharmacy in grass-roots hospitals, and put forward specific solutions. The report reads as follows:
1. Problems in quality management of traditional Chinese medicine in Chinese pharmacy
1. 1 The implementation of quality control standards for traditional Chinese medicines is not strict.
Due to the obvious differences in processing methods and growth environment of traditional Chinese medicine, it can not be effectively controlled according to unified standards. Therefore, many grass-roots hospitals do not have a perfect quality supervision system of traditional Chinese medicine, which leads to many traditional Chinese medicines with quality problems being applied in clinic and reduces the safety of patients' clinical medication.
1.2 insufficient supervision on the procurement of traditional Chinese medicines.
The main problems in the process of purchasing traditional Chinese medicine are as follows: ① The purchasing index of traditional Chinese medicine is not clear. Some hospitals did not check the inventory of traditional Chinese medicine before purchasing, so there will be over-purchasing during the purchasing period, resulting in a large backlog of traditional Chinese medicine. ② The channels for purchasing traditional Chinese medicine are not standardized. In some hospitals, purchasers buy Chinese medicines from informal channels for personal gain, so the quality of these Chinese medicines cannot be guaranteed.
1.3 improper processing method of traditional Chinese medicine
The processing quality of traditional Chinese medicine will affect its curative effect. Some grass-roots hospitals have improper processing methods of traditional Chinese medicine, such as long soaking time and unequal processing methods, which can affect its curative effect. In addition, unclean or mixed impurities before processing of traditional Chinese medicine will also have a negative impact on its curative effect.
1.4 improper storage method of traditional Chinese medicine
There are relatively many kinds of traditional Chinese medicines stored in Chinese pharmacies, and different storage methods of traditional Chinese medicines are also different. During storage, due to the influence of pharmacy environment and maintenance equipment, traditional Chinese medicine will be mildewed and moth-eaten, which will not only affect its normal use, but also cause a lot of waste of resources. In addition, the staff of some pharmacies did not check the stored Chinese medicines in time and did not understand the storage situation of Chinese medicines, which was also one of the reasons for the quality problems.
2. Specific measures to strengthen the quality management of traditional Chinese medicine in grass-roots hospitals
2. 1 Improve the quality supervision system of traditional Chinese medicine
Hospital management departments should establish an effective supervision system, establish and improve the acceptance system of traditional Chinese medicine, and strictly accept the varieties, properties and components of purchased traditional Chinese medicine. In the acceptance of traditional Chinese medicine, it is necessary to check its production date and shelf life in detail. After acceptance, traditional Chinese medicine will be discharged according to relevant standards to avoid confusion. Traditional Chinese medicine with quality problems such as mildew should not be used in clinic to improve the safety of patients. At the same time, the outpatient prescription department of the hospital should do a good job in the daily sampling inspection of traditional Chinese medicines, and randomly select 10 kinds of traditional Chinese medicines for inspection every day to check whether there are any problems in the compatibility dosage, drug quality and processing quality of these traditional Chinese medicines, fully understand the quality of pharmacists, and give full play to their supervisory role in Chinese pharmacy.
2.2 Develop a reasonable Chinese medicine procurement plan
Before purchasing Chinese medicine stores, the purchasing staff should first understand the current situation of Chinese medicine stocks in Chinese medicine stores, and make a reasonable purchasing plan according to the demand and stocks of Chinese medicine stores, so as to effectively control the purchasing quantity of Chinese medicine and reduce the storage of Chinese medicine. The warehousing date of traditional Chinese medicine should be recorded in detail, the warehousing registration should be checked regularly, and the quality problems or expired traditional Chinese medicine should be cleaned up in time to improve the management level of traditional Chinese medicine in Chinese pharmacy.
2.3 improve the quality of Chinese medicine processing
In the process of processing traditional Chinese medicine, it must be processed according to its medicinal properties to ensure its processing quality. Chinese medicine should be tested before processing to eliminate unqualified Chinese medicine. After the processing, the processed Chinese medicines are checked and accepted, and then stored according to relevant standards.
2.4 Improve the storage quality of traditional Chinese medicine
Improper storage of traditional Chinese medicine is easy to be moldy and moth-eaten, which affects the efficacy. In order to improve the storage quality of traditional Chinese medicine, grass-roots hospitals should pay attention to the following problems when storing traditional Chinese medicine: ① Drugs should be produced according to quality. ② Strictly control the temperature and humidity in the storage room. Indoor windows should be ventilated regularly and kept dry to reduce the growth of bacteria. ③ Toxic drugs such as nux vomica should be stored separately. If these drugs are mixed with other drugs, they will bring toxicity to other drugs.
2.5 ? Purchase traditional Chinese medicine through formal channels
The quality of Chinese medicine can directly affect the effect of its use. Therefore, the relevant departments should strengthen the supervision over the procurement of Chinese medicines in Chinese pharmacies in primary hospitals, and require Chinese medicine purchasers to purchase Chinese medicines through formal channels in strict accordance with the requirements of drug management. In addition, Chinese pharmacies in primary hospitals should establish a perfect drug acceptance system, and unqualified drugs cannot be purchased.
2.6 Improve the professional quality of pharmacists
Strengthen the training of pharmacists' professional quality in Chinese pharmacy, make them master more knowledge of drug management and drug compatibility, and improve pharmacists' sense of responsibility. Pharmacists should analyze the compatibility of drugs in the prescription according to the doctor's advice during the preparation of traditional Chinese medicine, and communicate with doctors in time to solve the problem of improper compatibility or unclear handwriting. When preparing traditional Chinese medicine, we should observe whether there are quality problems such as moth-eaten and mildew, and we should not use traditional Chinese medicine with quality problems. When using toxic traditional Chinese medicine, pharmacists should strictly check the dosage of the medicine before preparing it. After the preparation of traditional Chinese medicine is completed, pharmacists should check the accuracy of drug compatibility to reduce the error rate of drug preparation.
2.7 Strengthen the adjustment of traditional Chinese medicine.
Chinese medicine dispensing is an important part of Chinese medicine quality management in Chinese pharmacy. When preparing important preparations, pharmacists should know the basic information and condition of patients, analyze the curative effect of the prepared drugs according to these conditions, and then make prescriptions after checking them correctly. Before distributing drugs, the distributor shall recheck the drugs and prescriptions, and after checking them correctly, indicate the method of taking drugs on the medicine bag, and then distribute the drugs to patients.
2.8 Strengthen the quality management of traditional Chinese medicine decoction
Studies have shown that the quality of traditional Chinese medicine decoction directly affects the curative effect of drugs. Before decocting traditional Chinese medicine, the water content, duration and time of decoction should be reasonably controlled according to its category and nature. Under normal circumstances, the decoction time of traditional Chinese medicine should be controlled at about 20 minutes, and nourishing drugs can appropriately extend the decoction time. It is reported that strengthening the quality control of traditional Chinese medicine decoction can give full play to the efficacy of traditional Chinese medicine, and then improve the therapeutic effect of traditional Chinese medicine on patients.
summary
At present, the main problems existing in the quality management of traditional Chinese medicine in Chinese pharmacy of primary hospitals are: the implementation of quality control standards of traditional Chinese medicine is not strict, the supervision of traditional Chinese medicine procurement is not enough, the processing method of traditional Chinese medicine is improper, and the storage method of traditional Chinese medicine is improper. Therefore, Chinese pharmacy in primary hospitals should strictly implement the quality control standards of Chinese medicine, establish and improve the management system of Chinese medicine, purchase Chinese medicine through formal channels, improve the professional quality of pharmacists, and strengthen the storage, processing and preparation management of Chinese medicine.
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