Medicine is a special commodity, different from food, and it is a chemical substance used to treat, prevent and diagnose diseases. The safety of clinical medication is very important for both doctors and patients. Therefore, the management of hospital drug storehouse is the key to ensure the safety of patients' medication and the smooth operation of the hospital. There are often some problems in the management of hospital drug storehouse, such as uncoordinated drug storage and circulation, confusion of drug production batch number and production date, improper management of special drugs and so on. Aiming at the problems often existing in the management of hospital drug storeroom, this paper takes a series of effective measures to standardize drug management. The report is as follows.
Frequently asked questions about 1
The storage condition of 1 1 Drugs are different from ordinary commodities and have strict storage conditions. The common storage conditions are cool and dry places or dark places, but some drugs may need to be stored at 4℃. If drugs are not stored in strict accordance with the storage requirements of drugs, drugs may decompose, oxidize, deteriorate and even become another toxic substance, which seriously affects the safety of patients.
1.2 The management of drug production date and batch number is chaotic. The properties and storage conditions of drugs with different production batches may not be exactly the same. The same drugs with the same batch production date are required to have detailed labels and be placed in specific locations. Because hospital pharmacy is the core base of hospital medication. Managers are busy with their work, and often in order to improve work efficiency, they don't classify expired, about to expire and unexpired drugs, which leads to confusion in drug supply, and they don't distribute drugs according to the principle of "first in, first out, first used in the near future (about to expire)". As a result, some drugs that are about to expire will expire and deteriorate, which will affect the benefit of the hospital.
1.3 The relationship between drug purchase and supply is not harmonious enough. There should be some medicine storage in the medicine warehouse. A drug is stored for better clinical supply, usually for two months, but the frequency of drug use in hospitals varies greatly. The hospital drug storeroom was not adjusted in time, which led to a long-term large inventory of non-used drugs, insufficient storage of commonly used drugs, and failure to coordinate the stable supply relationship with suppliers when purchasing drugs. Insufficient supply also occurs from time to time.
1.4 improper management of special drugs The management of special drugs such as anesthesia, psychosis, toxicity, high-risk drugs and precious drugs is one of the key points in hospital drug storehouse management. Because these special drugs have to be registered in special books, consumed in special accounts, prescribed by special people and managed by special people, they cannot be managed together with ordinary drugs. There is a phenomenon of improper management of special drugs by the managers of drug storeroom, and this management should be strengthened.
2 solutions
In order to speed up turnover, reduce inventory and ensure the safety of patients' medication, hospital pharmacies should balance the conflict of interests between drug suppliers and patients under the premise of stable operation of the hospital, so as to maximize the interests of both parties. The solutions to the problems existing in hospital pharmacies are as follows.
2. 1 establish a drug monitoring team. The hospital monitoring team establishes a strict monitoring plan. The monitoring team checks whether some drugs in the pharmacy are managed and stored according to standard operation once a week, and conducts thorough monitoring once a month. All pharmacy managers, doctors, nurses and other hospital employees should follow the prescribed standard articles of association and make supervision record forms. Every step of drug storage, inventory and delivery must be carried out in accordance with relevant laws, regulations and operating procedures, and the problems existing in pharmacy management and related solutions should be recorded in detail.
2.2 Improve and improve the pharmacy information system Implement the pharmacy information system to manage the huge pharmacy information in the hospital in detail. Pharmacy managers should actively cooperate with the establishment and improvement of the pharmacy information system, which is conducive to reducing the workload of pharmacy staff, improving work efficiency and making pharmacy management more scientific and effective. Improve the pharmaceutical information system, including the basic information of drugs such as drug name, classification, medical use, specifications, dosage forms, manufacturers, prices, storage conditions and precautions, as well as some special drugs such as refined drugs.
Psychotropic drugs need special management.
2.3 Coordinate the relationship between procurement and supply
Hospital drug storehouse is the most important hub between drug suppliers and hospital drug supply. Before purchasing, the hospital pharmacy first analyzes and evaluates the frequency of drug use, and makes corresponding predictions, and then conducts supplier research on the required drugs. Hospital pharmacies should adhere to the principles of fairness, justice, honesty and trustworthiness, establish a good and stable relationship with suppliers on the basis of bidding, ensure adequate drug sources, and weigh the interest relationship between procurement and supply.
2.4. Improving the professional knowledge and working skills of drug managers is the premise and foundation for better drug management. Hospitals should regularly train the professional knowledge and working skills of drug managers in order to better manage the hospital drug storehouse and improve work efficiency.
3 discussion
Nowadays, with the improvement of people's living standards, the demand for medical care is increasing. In order to reduce medical accidents and ensure the safety of patients' medication, hospitals must establish a perfect drug management system to make drug management scientific, standardized and institutionalized, so as to meet the needs of clinical medication and improve economic benefits. Drug storehouse management is an important part of hospital management. Through the establishment of drug monitoring team, the relationship between the purchase and supply of drug storehouse is improved, the professional knowledge and working skills of drug managers are improved, the safe and effective use of drugs by patients is better guaranteed, and the sound and rapid development of hospitals is promoted.
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