Pharmacist annual work plan a
I was in the end of 2014 in the national clinical pharmacist training base in the first hospital attached to Jilin University to complete the training of clinical pharmacists and return to work, our hospital began to establish a clinical pharmacist system, after a period of preparatory work, clinical pharmacy room in the president of the Wang Qi and the competent vice president of the Xuan Jihao attaches great importance to and strong support, in 2020, January 1 January 2020, with the great attention and support of President Wang Qi and Vice President Xuan Jihao. Although one person has been carrying out the related work due to the shortage of human resources after the establishment, we have accumulated rich experience in clinical pharmacy through our own unremitting efforts and study in the past six months, successfully accomplished the predetermined objectives and tasks, and formulated a detailed work plan for the smooth development of clinical pharmacy in the future. At present, I have carried out and will carry out the clinical pharmacy work plan is as follows:
First, the development of the clinical pharmacy work system and annual work objectives
The latest clinical pharmacist work plan sample first developed the "clinical pharmacy room various work duties and systems", while the development of the 2020 annual work plan, work objectives, and timely do the monthly work summary. Make it work systematization, operational procedures, clear responsibilities.
Second, strengthen the prescription review and unreasonable medication penalties
Clinical pharmacists monthly sampling of inpatient medical records 30 and inpatient electronic medical records more than 5 hundred, the hospital doctor's orders, prescriptions for prescription review and unreasonable medication analysis, a monthly review, review results and recommendations feedback to the Medical Affairs Department. At the same time, the development of the "prescription review system", "on the clinical rational use of medication management regulations" and other related systems and regulations.
Third, the special antimicrobial drugs
Remediation actively participated in the hospital antimicrobial drugs clinical application of special governance work, the implementation of antimicrobial drugs three-level management has played a substantial and important role. At present, the use of antimicrobial drugs for the preventive use of a class of incisions in our hospital is generally very high, and simply does not meet the requirements of the higher level. The antibiotic utilization rate of inpatient and outpatient prescriptions is counted and evaluated by department or doctor on time every month. In addition monthly in accordance with the provisions of the fixed on the discharge of patients' medical records and outpatient prescription of antibiotics in the use of rational evaluation focus.
When evaluating the inpatient medical records, the following problems were found in the rational use of antimicrobial drugs in our hospital:
1) the use of antimicrobial drugs is too high
2) the use of antimicrobial drugs for too long a period of time
3) the selection of antimicrobial drugs is unreasonable
4) the single dose is unreasonable
5) the timing of the administration of prophylactic drugs is unreasonable
5) the administration of prophylactic drugs is unreasonable
6) the use of antibacterial drugs in the hospital is unreasonable.
6) antimicrobial drug administration frequency is unreasonable
7) antimicrobial drug replacement drug is unreasonable
8) combination of drugs is unreasonable
9) the use of antimicrobial drugs without indication and so on
Fourth, in June of the outpatient, emergency electronic prescriptions for the whole sample review, found that there are the following problems:
1) no diagnosis
2) Diagnosis and medication does not match
3) Frequency of administration is unreasonable
4) Single dose is unreasonable
5) Repeated use of medication
6) Combination of medications is unreasonable and other issues
V. Efforts to build and create an academic atmosphere
has been focusing on and strengthening their own business quality, professional skills training and improvement. To learn from the old clinical experts and professors, study hard, and strive to build and create an academic atmosphere, create a learning department.
Six, the current projects have been carried out as follows (a) monthly on-time writing:
1, three copies of the drug calendar
2, a case study
3, two copies of the case discussion
(b) is carrying out the work of:
1, has been carried out in some of the therapeutic areas: (1) medication interventions and fill in the record form; (2) drug information counseling
2, the next step in the plan to carry out the work: (1) in the inpatient pharmacy education and fill out the record (2) discharged patients and fill out the record of medication guidance. (C) monthly on-time reporting to the hospital and the Medical Department of the statistical indicators or information: hospital-wide, inpatient, outpatient, emergency, doctor categories, respectively, the proportion of antimicrobial drug costs, total antimicrobial drug costs, the intensity of drug use (DDDS), the use of various indicators and the ranking of the top ten medicines, the ranking of the top 10 doctors in the hospital statistics.
VII, the current problems and shortcomings of the clinical pharmacy work in the past six months despite the small achievements and progress, but by the lack of personnel, computer software imperfections and other constraints, many of the work program failed to carry out the operation, and the province, the national level of advanced level there is still a big gap. Specifically manifested in:
1, clinical pharmacy work mode is still in the exploration, groping, the work to be further standardized, specific, clinical pharmacist system and the implementation of the implementation of the power to progress and improve.
2, clinical pharmacists lack of deeper clinical practice work experience and ability to participate in the rational use of clinical medication and the level of further enhancement and improvement; 3, clinical pharmacy talent is scarce, the hospital should strengthen the introduction of talent in this area, and strong support for the training of on-the-job clinical pharmacy staff and continuing education work.
4, clinical pharmacy room to carry out the work of the necessary basic hardware facilities such as data room, instrument room to be reasonable solution and improve the hospital.
Pharmacist annual work plan
First, study the relevant laws and regulations
Continue to strengthen our medical staff on the "Drug Administration Law", "prescription management", "narcotic drugs", "Antibacterial Drugs Clinical Application Guidelines," and other relevant laws and regulations, to strengthen the medical staff of drug-related laws and regulations of the understanding of the all-round improvement of the quality of their own professional ethics. Improve the quality of medical staff's own professional ethics. Strengthen the management of the quality of prescription writing, monthly random checks and evaluation of outpatient prescriptions from time to time, the strict implementation of the prescription management system and the hospital prescription review system, standardize prescription writing, and real-time notification of unreasonable situations.
Second, strict control to eliminate the abuse of antimicrobial drugs
In order to further strengthen the management of the clinical application of antimicrobial drugs in our hospital, to promote the rational use of antimicrobial drugs, improve the quality of medical care, reduce the economic burden on patients, prevent overuse, abuse, control the proportion of drug costs in the overall medical activities, the development of the hospital's antimicrobial drug use management regulations.
Regular sampling and review of prescriptions, in violation of the "Guiding Principles for the Clinical Application of Antimicrobial Drugs" of the prescriptions to be communicated first, communication is still not changed will be reported to the Medical Department, by the Medical Department to deal with. Hospital regulations to limit the use of other antimicrobial drugs, the department should be signed by the director of the department with a prescription, to the director of infection control department to register, sign and then go to the pharmacy to get the medicine. In case of emergency, it can be used without authorization, but the prescription is limited to one day. Outpatient and emergency antimicrobial drugs shall not exceed a 3-day quantity per prescription.
Third, strengthen the management of special drugs
Strictly in accordance with the "Narcotic Drugs Management Measures" in the five special (special prescriptions, special books, special people responsible for special cabinets and locks, special registers) custody and storage of narcotic drugs and a class of psychotropic drugs. The five specialties of special prescription, special account book, special person in charge, special locker and special register should be strictly enforced, and one of them is indispensable. Failed prescriptions should be returned immediately and no drugs should be dispensed. For narcotic drugs and a class of psychotropic drugs prescription, each must be strictly audited before the issuance of drugs, any one of which does not meet the requirements to return the prescription. For narcotic drugs and a class of psychotropic drugs to put an end to the human prescription, leadership prescription.
Fourth, the development of the hospital's basic medication catalog
The development of the hospital's basic medication catalog in 2020, and to ensure that the supply of drugs within the catalog to ensure that the clinical demand for medication, and to do a good job in the online procurement of drugs.
V. Improve the quality of pharmacy services and medicines
Focus on improving quality and gradually establish a quality and safety system. Concentrate on quality and safety, strengthen scientific management and improve overall performance, which is the key to the survival and development of the Pharmacy Department. Strengthen the standardized management of the service process, highlight the functions of the department, the whole process of supervision and inspection of the quality of medicines, to ensure the safety and effectiveness of clinical use of drugs; strengthen the rational use of medicines and the clinical application of antimicrobial drugs guidance, the grading of antimicrobial drugs to implement a strict monitoring and control of the management of antibacterial drugs, to reduce the situation of antibacterial drug abuse. It especially strengthens the rational use of medication for pregnant women and children. Regularly analyze the insufficient service work, find out the existing *** problems, and do the same. Make the whole service process become a continuous feedback, continuous adjustment, continuous standardization process, from the overall strengthening and promote the standardization and standardization of service work.
The hospital pharmacy is a window, do smile service, so that patients have a good mood. When issuing medication in strict accordance with the four checks and ten pairs of implementation, to eliminate the occurrence of errors and accidents.
Six, strengthen the monitoring of adverse reactions
Further standardize the monitoring of adverse drug reactions, closely cooperate with the medical, nursing and other relevant departments, timely reporting of adverse drug reaction reports. Strengthening the work of the pharmacy service window, more direct and more comprehensive to provide patients with pharmacy services.
VII, improve the work efficiency assessment system
The development of the Pharmacy Department work efficiency assessment system, refine the assessment indicators, adhere to the implementation of the overall quality assessment, through a variety of systems, the strict implementation of the assessment standards, the implementation of flexible working system, consolidate labor discipline, so that the work of all departments to achieve standardization, procedural, standardization.
VIII. Strengthen the discipline of talent training
The development of the Pharmacy Department to continue to learn the system and business knowledge of the regular assessment system, regular business learning and service skills and attitudes of the training, to enhance the professional quality of pharmacy staff, and constantly improve the rate of patient satisfaction. Encourage employees to learn computer knowledge, improve work efficiency, and organize more communication between pharmacy staff and clinicians to promote *** with learning *** with progress. Actively participate in a variety of academic lectures organized both inside and outside the hospital, and constantly improve the level of business skills, increase business training, improve knowledge, and strive to 2020 year medical and technical staff are qualified access; plans to organize a monthly pharmacy department in 2020 intra-course activities. In response to the call of the higher health departments to adhere to the monthly spot check and review of each clinical department prescription 50.
In order to improve the quality of medicines, the rationality of clinical medication, to promote the innovative development of the department, as well as to create more and more social and economic benefits for the hospital, under the guidance and support of the leadership of the hospital, the entire department will *** with hand in hand, focusing on the wisdom, cohesion, unity of effort, enterprising, hard work. With the goal of pharmacy services, quality as the center, for patients and the development of pharmacy to make a modest contribution!
Pharmacist annual work plan three
2020 Pharmacy will be based on the strengthening of hospital medical ethics, advocating the three good and one satisfaction and the overall goal of the development of pharmacy, accelerating the pace of discipline construction and talent training, strengthen the strength and depth of the quality management of medicines, in the last year on the basis of the achievements of the deepening of the reform, and innovation, to set a new practical goals. The following is the work plan of the Department of Pharmacy in 2020
First, the development of the hospital's basic medication catalog.
According to the results of the selection of drugs by the Pharmaceutical Affairs Committee of the hospital, the basic catalog of drugs in 2020 will be developed, and the supply of drugs in the catalog will be guaranteed to ensure the demand for clinical use of drugs.
The hospital has been able to implement the relevant systems of pharmacy management in a serious manner.
Carry out the daily work of the Pharmaceutical Affairs Committee, hold regular meetings of the Pharmaceutical Affairs Committee, collect opinions on clinical use of drugs and applications for new drugs, do a good job in the pre-approval of new drugs and the later application of adverse reactions and clinical feedback to meet the needs of clinical use of drugs to ensure that the public's safety of medication.
Third, to strengthen theoretical learning, improve the political and ideological awareness of all staff and business quality.
Regularly organize the entire staff to study the superior and the hospital documents, regular business learning and service skills training, and implementation in place, consciously resisting the unhealthy winds of the industry, in order to improve the window service as its own responsibility, to quality first, the patient first for the concept of wholeheartedly for the people's service.
Fourth, strengthen the study of antimicrobial drugs, and further strengthen the Ministry of Health
38 documents and antimicrobial drugs clinical guidelines for the study of a variety of documents, continue to carry out the implementation of the relevant provisions of the clinical application of antimicrobial drugs, antimicrobial drugs, the various indicators to strive to control the scope of the strengthening of the class I incision surgery, the rational use of antimicrobial drugs management.
V. Strengthen the management of drugs to ensure that the clinical demand for medication and the safety of patients with medication.
Regular monthly spot checks on the workflow and quality of work in the classroom and supervise the staff in the department to implement the management system seriously.
Strengthen the quality management of drugs, in the purchase and acceptance, warehousing and maintenance of strict quality control, to prevent counterfeit and shoddy drugs mixed into the hospital to avoid expiration of drugs caused by major medical incidents and economic losses. The quality and expiration date of the drug stock in the ward, drugstore and pharmacy are inspected every month, and the results are summarized to ensure that problems are dealt with in a timely and appropriate manner to ensure the safety of patients' use of medicines.
Six, improve the workflow, to prevent the occurrence of errors and accidents.
Pharmacy window service work is an important part of the hospital service work, not only to reflect the hospital's spiritual outlook and civilized quality of the window, but also bear the great responsibility to protect the people's drug safety. In line with the patient is responsible for their own responsible attitude, we must improve the workflow, review the prescription, the issue of drugs by a person responsible for the transfer by a person responsible for, after the two gatekeeper, basically can do to prevent the occurrence of errors and accidents, so as to reduce the patient's complaints, to prevent the occurrence of medical errors.
VII. Strengthen the management and use of narcotic drugs, and organize the relevant personnel to seriously study the "Narcotic Drugs and Psychotropic Substances in Medical Institutions in Anhui Province". Anhui Province, the medical institutions of narcotic drugs and psychotropic substances management regulations?
1.
1, the establishment of narcotic drugs and psychotropic substances procurement, acceptance, storage, custody, issuance, transfer, use, supervision, report defects, destruction, loss and theft of the case report, duty, inspection system; 2, the development of the duties of each post; 3, quarterly inspection of narcotic drugs and psychotropic substances management, and records, and timely rectification of existing problems, eliminating hidden dangers; regular meetings, on the narcotic drugs and psychotropic substances management. Regular meetings are held to summarize the problems in the management of narcotic drugs and psychotropic substances, put forward suggestions for improvement, and revise the relevant system in due course. 4. Regular training and assessment of relevant laws and regulations, departmental rules, professional knowledge, professional ethics, etc., for personnel involved in the use and management of narcotic drugs and psychotropic substances in the departments of medicine, pharmacy, nursing, health care administration, and security.
VIII, the establishment of clinical pharmacist system, the initial clinical pharmacist work
early next year to send a person to the higher hospital for short-term study, and then to the clinical pharmacist training base for training, after obtaining the qualification, to carry out the work of clinical pharmacy in our hospital.
Nine, according to? The prescription review system?
X. Strict implementation of? The first is to make sure that you have a good understanding of the situation, and that you have a good idea of what is happening.
Monthly statistics of the top ten sales of drugs, the top ten consecutive sales of medicines, by the hospital pharmacy committee or the dean in charge of the consent of the hospital, were given to reduce the purchase price and limit the number of sales of penalties. Monthly prescription sales of drugs in the top ten doctors for statistics, notification of a single variety of more than 300, two varieties of more than 600 and prescription of each variety of the first doctor, and reported to the hospital department for punishment.
Eleven, continue to do a good job of adverse drug reactions (ADR) and medical device adverse event monitoring
ADR work continues to be included in the end of the year assessment of the Department, and according to the number of cases completed by the Department of the top three to give incentives to maintain the city and county advanced units. Our hospital medical device adverse event monitoring work is still in a backward state, in the new year, we must strengthen the communication and exchange with the nursing department, give full play to the role of the head nurse, to improve the medical device adverse event reporting work, so that this work has a greater progress.
XII, improve the performance appraisal system
In accordance with the hospital performance appraisal methods, the development of performance appraisal system of the Pharmacy Department, refinement of the appraisal indexes, adhere to the implementation of the overall quality assessment, through the strict implementation of a variety of systems, appraisal standards, the implementation of flexible working system, rectify the labor discipline, so as to achieve the standardization of the work, the procedures, standardization.
In the new year, the Department of Pharmacy will comprehensively strengthen the quality management, cohesion, new ideas, new concepts, new initiatives to strengthen the vitality and vitality of the Department of Pharmacy services, to the spirit of pragmatism, pragmatic style, to accelerate the construction and development of the Department.
Pharmacist annual work plan four
A study of relevant laws and regulations
Continue to strengthen the pharmacy staff on the "Drug Administration Law", "prescription management approach", "_ management approach", "the guiding principles of the clinical application of antimicrobial drugs" and other relevant laws and regulations, to strengthen the understanding of the laws and regulations of the drug-related, all-round improvement of the pharmacy staff's own professional moral quality. Strengthen the knowledge of drug-related laws and regulations, and improve the quality of pharmacy staff's professional ethics in all aspects. Strengthen the management of the quality of prescription writing, monthly random checks and evaluation of outpatient prescriptions from time to time, the strict implementation of the prescription management system and the hospital prescription review system, standardize prescription writing, and real-time notification of unreasonable situations.
Second, strict control to eliminate the abuse of antimicrobial drugs, regular sampling and review of prescriptions
In order to further strengthen the management of the clinical application of antimicrobial drugs in our hospitals, to promote the rational use of antimicrobial drugs, improve the quality of medical care, reduce the economic burden of patients, prevent overuse, abuse, and control of drug costs in the overall medical activities of the proportion, the development of the hospital's antimicrobial drug use management regulations.
Regular sampling and review of prescriptions, in violation of the "Guiding Principles for the Clinical Application of Antimicrobial Drugs" of the prescription to be communicated first, communication is still not changed will be reported to the Medical Department, by the Medical Department to deal with. Outpatient and emergency antimicrobial drugs per prescription shall not exceed the amount of 3 days.
Third, strengthen the management of special drugs
Strictly in accordance with the "_ management approach" in the five special? Special prescription, special books, special person in charge, special cabinet with lock, special register? Custody and storage of _ and a class of psychotropic drugs. Dedicated prescription, dedicated books, dedicated person in charge, dedicated locker, dedicated booklet registration of these five special should be strictly enforced, the lack of which is indispensable. For unqualified prescriptions immediately returned, can not be issued. For _ prescription and a class of psychotropic drugs prescription, each must be strictly audited before the issuance of drugs, any one of which does not meet the requirements will be returned to the prescription. For _ and a class of psychotropic drugs to put an end to favor prescription, leadership prescription.
Fourth, the development of the hospital's basic medication catalog
The development of the hospital's basic catalog of medication in _, and to ensure that the supply of drugs within the catalog to ensure that the clinical demand for medication, and to do a good job in the online procurement of drugs.
V. Improve the quality of pharmacy services and medicines
Focus on improving quality and gradually establish a quality and safety system. Concentrate on quality and safety, strengthen scientific management and improve overall performance. Strengthen the standardized management of the service process, highlight the functions of the department, carry out the whole process of supervision and inspection of the quality of drugs, ensure the safety and effectiveness of clinical medication, strengthen the rational use of drugs and the guidance of the clinical application of antimicrobial drugs, and carry out strict monitoring of the hierarchical management of antimicrobial drugs, so as to reduce the situation of antimicrobial drug abuse. Regularly analyze the insufficient service work, find out the existence of *** sexual problems, to do the same.
Make the whole service process become a continuous feedback, continuous adjustment, continuous standardization process, from the overall strengthening and promote the standardization and standardization of service work.
Pharmacist annual work plan five
A pharmacist involved in clinical
1, as far as possible to participate in the daily clinical departments to check the room for clinicians and patients to provide rational use of medication counseling for the establishment of the key patients, the establishment of drug records, write three monthly drug records.
2. Work closely with the clinic and participate in clinical consultation and death case discussion when clinically necessary.
Second, prescription check
1, _ and the first class of psychotropic drugs prescription: all the prescription of such drugs for prescription writing and rational use of medication check, will be found in a timely manner to feedback to the dispensing department.
2, the second class of psychotropic drugs prescription: monthly sampling of the class of 100 prescriptions, prescription writing and rational use of drugs check.
3, general prescriptions (including emergency, pediatric prescriptions): monthly to assist the transfer department and the director of the department to complete the summary of the outpatient prescription spot checks.
4, in accordance with the requirements of the "prescription management approach" to fill out the prescription evaluation form every month.
For the problems in the prescription, it will be published in each issue of Clinical Drug News to remind clinicians to pay attention to the prescription writing and rational use of drugs.
Third, the medical record random inspection
1, monthly random inspection of each section of the inpatient medical records of two, check the reasonableness of the use of medication (especially the reasonableness of the use of antimicrobial drugs), the results of the inspection will be feedback to the clinic and scored and submitted to the Department of Quality Management into the quality of the medical record assessment.
2, quarterly sampling of the three clinical departments of the inpatient medical records of each of the 10, check the use of the amount of antibacterial drugs ranked the top 10 use of antibacterial drugs, the results of the analysis and feedback to the clinical departments.
3, monthly sampling of 30 copies of surgical records, check the use of perioperative antimicrobial drugs, and analyze the results of the inspection.
4, monthly survey of 100 hospitalized medical records in the use of antimicrobial drugs, quarterly summary analysis.
Fourth, the analysis of drug use
Quarterly outpatient drugs, inpatient drugs, respectively, the use of the amount of money, the use of the number of statistics, analysis of the reasonableness of the use of drugs.
V. Adverse drug reactions
Supervise and collect the adverse drug reactions occurring in each clinical department, guide the relevant personnel to fill out the adverse drug reaction report form, and report it to the Sichuan Provincial Adverse Drug Reaction Monitoring Network before the 25th of each month.
Sixth, "Clinical Drug News"
Quarterly publication of a "Clinical Drug News", including prescription analysis, medication analysis, adverse drug reactions, information corner and other columns, the year **** 4 issues.
VII. Drug quality sampling
Monthly sampling of the appearance of the quality of the three types of drugs in the pharmacy (oral drugs, injections, topical drugs, one each).