According to the "Prescription Management Measures" Article 2: Prescription refers to the registered medical practitioners and physician assistants (hereinafter referred to as physicians) in the diagnosis and treatment activities for the patient issued by the pharmacy professional and technical qualifications of pharmacy professionals and technicians (hereinafter referred to as the pharmacist) to review, deployment, verification, and as a voucher for the patient's medication of the medical instruments. Prescription including medical institutions in the ward medication doctor's orders. Prescription is a written document of the doctor on the patient's medication, is the basis for the pharmacy staff to deploy drugs, with legal, technical and economic responsibilities.
Prescription review self-examination report:County Food and Drug Administration: According to xxx [20xx] No. 21 document "on the issuance of the county's drug production and circulation areas to focus on remedial action work program notice" spirit, our hospital based on the actual situation, highlighting the key points of the hospital's drug safety management work to carry out a comprehensive self-check and self-correction, is now self-checking the situation is as follows:
A strengthened leadership, a strict and strict management of the hospital's drug safety management.
On March 10, the health center set up by the president, vice president, section chiefs, pharmacy staff and other components of the health center drug safety focused on rectification of the work of the leading group, by the leading group to implement the coordination of medication safety special rectification work, the organization of the drug safety situation analysis, in a timely manner, to eliminate the hidden dangers of drug safety in the hospital.
Two, extensive publicity, efforts to create a good environment for safe use of drugs.
On March 15, the hospital organized a lecture on drug safety, to strengthen the rational use of medicines and knowledge of basic medicines publicity and education, so that the hospital staff to firmly establish the awareness of drug safety, standardize medical behavior, improve the level of medication, to ensure the safety of medication.
Third, attach great importance to actively carry out drug safety self-examination activities.
March 25th I hospital organization of the Chinese and Western pharmacy all inventory of drugs for one by one inventory, inventory items including drug manufacturers, approval number, expiration date, appearance of the quality of the inventory did not find to food, disinfection products, health food, the use of drugs, did not find the expiration of the mold and mildew deterioration and the State Food and Drug Administration announced the chromium content of the The company's products have been used for a long time, and have been used for many years.
Four, standardize the purchase of drugs, give priority to the use of essential drugs.
The hospital used the basic drug procurement through the 00 provincial centralized purchasing platform online submission of procurement plans, by the provincial basic drug distribution bidding enterprises for uniform distribution, all drugs are zero-differential rate sales.
V. Strictly control, effectively strengthen the quality of drug management.
Purchased drugs in strict accordance with the provisions of the acceptance of each, and the establishment of a real, complete drug purchase and acceptance records, to do each batch, each variety of quality acceptance of the registration of storage, designate a person every day to register the Chinese and Western pharmacy and the warehouse indoor temperature and humidity, to do a good job in the library of the maintenance of the drug, drug storage in accordance with the requirements of the classification of the display and storage. Drugs in the out of storage transfer issued to prevent mold damage, weathering discoloration, expiration and other quality problems, the quality of drugs to implement the responsibility of each post responsible person.
Six, raise awareness, the strict implementation of the rules and regulations.
According to the "prescription management approach" and "the guiding principles for the clinical application of antimicrobial drugs", the hospital actively implement the prescription review system, by a person regularly review and analyze the quality of health hospital prescriptions, and the results of the prescription review through the bulletin board published. Monthly double-ranking statistics on the use of antimicrobial drugs by residents, the excessive use of antimicrobial drugs to check the behavior of unqualified prescriptions and medical records into the end of the year assessment of each department and the scope of rewards and penalties.
Prescription Review Self-Investigation Report Sample 2:Department of Health Medical Management Division:
In order to implement the spirit of the Ministry of Health's "Hospital Prescription Review Management Specification (Trial)" and "Provisions on Pharmaceutical Management in Healthcare Institutions", standardize medical behavior, reduce medical costs, improve the quality of pharmacy services, ensure the safety of the use of medicines and effective control of the quality and price of medicines, the relevant staff in my hospital leadership Under the leadership of our hospital, the relevant staff have seriously organized to learn the spirit of the higher-level documents, and have achieved obvious results in the rational use of medicines in the clinic. The results of the hospital's self-examination are summarized as follows:
First, to carry out the review of prescriptions and medical advice, and conscientiously do a good job of reviewing the summary of prescriptions.
In the hospital leadership of the strong support and the cooperation of the hospital departments, we seriously implement the "hospital prescription review management specification (for trial implementation)", "medical institutions pharmacy management regulations" set up a hospital prescription review expert group, specialized in providing professional and technical advice on prescription review, while the Pharmacy Department set up a prescription review working group responsible for prescription review of the specific work, the regular publication of the results of the report, the report on the results of the review, the report on the results of the review of the work of the hospital. The results of the prescription review are published regularly and unreasonable prescriptions are notified. Prescription review working group monthly sampling 100 outpatient prescriptions and 30 inpatient medical records, the sampling of prescriptions and medical records according to the "prescription management approach" for the relevant provisions and parameters of the review, and combined with drug instructions and pharmacopoeia and other relevant books on irrational prescriptions for statistical analysis of prescriptions, on which there is a problem of prescriptions and medical records of medical records to be informed of the whole hospital, so that the physicians of the departments in the director of the department to carry out self-examination and self-correction under the leadership of the department. The first step is to make sure that you are not in a situation where you can't do anything about the problem.
Through unremitting reviews of monthly prescriptions and medical records, summaries, notification of criticism and other measures, the main existence of our hospital? Incomplete clinical diagnosis? The clinical diagnosis is not consistent with the use of medication? The main problems in our hospital are Unstandardized writing and other problems have been significantly improved, the last two months of prescription pass rate from the original 78% to the current 95%.
Second, the drug management system is sound, work in place.
1, there is a hospital pharmacy management and drug therapeutics committee composed of hospital leaders, medical department, hospital sensory department, pharmacy department and clinical department director, the composition of the personnel have senior technical qualifications.
2, the hospital pharmacy existing professional and technical personnel 23, accounting for the total number of hospital health care personnel did not meet the standards, including 2 deputy director of the pharmacist, the pharmacist in charge of 9 pharmacists, pharmacists, 6 pharmacists, pharmacists, 5; head of the Pharmacy Department for the deputy director of the title of pharmacist, a bachelor's degree. The existing clinical pharmacist 1 (not up to standard).
3, our hospital to implement the national laws and regulations on drug management, the establishment of pharmacy management related systems.
4, the hospital has set up an ADR leading group, with an ADR working group, developed a working system, and work records.
5, the medical department has a full-time staff is responsible for participating in the hospital drug treatment related administrative affairs management.
6. The hospital strictly implements the relevant provisions of the centralized bidding and procurement management of medicines in Shanxi Province, and purchases the bidding medicines according to the winning catalog. The drugs required by the hospital are purchased by the pharmacy department, and it is strictly prohibited to purchase drugs from illegal channels to ensure the safety of clinical medication.
Third, the standardization of clinical rational use of drugs, as far as possible to achieve reasonable, effective, economical and appropriate.
1, the development of the clinical application of drugs management system, the implementation of measures and the hospital's "basic medication catalog".
2, developed the hospital's "antimicrobial clinical application of norms or implementation of the rules," and antimicrobial clinical monitoring, intervention measures.
3, conscientiously implement the total amount of medication monitoring and publicity, physician medication notification and physician evaluation of rational use of drugs.
4, strict supervision of clinical use of drugs, the implementation of the set clinical use of drugs? The company's website has been updated with the latest information on the latest developments in the field of medical technology.
The clinical application of antibacterial drugs is managed as follows:
(1) The clinical use of antibacterial drugs is managed hierarchically, and is required to follow the Guiding Principles for the Clinical Application of Antibacterial Drugs, the rational use of antibacterial drugs, and regular spot-checks of statistics on the actual use of the clinical departments and handed over to the Medical Education Department for notification.
(2) At the same time, as a member of the Antibacterial Drug Monitoring Network of the Ministry of Health, with the help of this platform, we regularly investigate and analyze the use of antimicrobial drugs, and implement restrictive measures for the use of certain antimicrobial drugs, and the proportion of antimicrobial drugs in the consumption of medicines in our hospital in 2010 was 6.7%.
(3) Bacteriology room quarterly installments, informing the hospital of common pathogenic bacteria and bacterial drug resistance.
(4) developed a hospital to control the proportion of drugs in each section of the interim regulations, the hospital announced monthly control of the proportion of drugs in each clinical department, and in the hospital's weekly meeting to inform the monthly monitoring of the situation, the proportion of over the proportion of departments in accordance with the management of punishment.
(5) The hospital organizes clinical training on rational use of medication from time to time every year, and monitors, evaluates, and informs physicians on the use of medication once a month. The hospital's prescription review team conducts random inspections of clinical departments and clinicians on the use of medication every month, and implements warning conversations, notifications, and other treatments for the clinicians who have exceeded the routine use of medication.
(6) clinicians rational use of medication as an important part of the moral assessment of doctors and medical quality assessment.
Fourth, the use of special drugs management
1, the strict implementation of the national narcotic, psychotropic drugs management of the relevant provisions of the establishment of a sound and improve the special drug procurement, storage, storage and use of the system.
2, the establishment of narcotic drugs, psychotropic drugs, procurement, acceptance, storage, custody, issuance, use and reporting of defects, destruction, loss and theft of the case report, duty inspection system.
3, the strict implementation of? Five special? Management of narcotic drugs, psychotropic drugs, acceptance records complete and standardized, with safe storage and protective measures, dedicated, double double locks, the establishment of a special in and out of the special books, special prescriptions for special registers. No violation of the use of the phenomenon of loss.
V. Problems and improvement measures.
1, the proportion of pharmacy technicians did not meet the standard; clinical pharmacist staff did not meet the standard. The hospital leadership attaches great importance to the preparation of the active introduction of pharmacy professionals and technicians to meet the requirements.
2, the hospital did not establish intravenous drug dispensing center. The hospital leadership has begun to prepare for the establishment of an intravenous drug dispensing center, and is currently carrying out the planning of the location of the center and other work.
3, prescription writing there are still clinical diagnosis and medication does not match the phenomenon. To address this situation, the Medical Education Department, together with the Pharmacy Department, is ready to once again train physicians on the "prescription management approach", the common errors in prescription writing, in order to improve the qualification rate of prescriptions.
4, clinical rational use of medication there are still unreasonable phenomena: for example, the proportion of Class Ⅰ incision prophylaxis more than 30% (42% in the third quarter of the hospital); Class Ⅰ incision postoperative medication time is still longer in some patients; Class Ⅰ incision prophylaxis to choose the starting point of the higher and so on. In response to this situation, our hospital firstly took individual conversation (because the application of antimicrobial drugs has been trained five times) for the problems found in the self-inspection of antimicrobial drugs in order to promote the rational use of drugs in the clinic. Since the start of the antimicrobial drugs special rectification activities, through the whole hospital doctors *** with efforts, our hospital antimicrobial drug use ratio has decreased significantly, the clinical application of antimicrobial drugs is becoming more reasonable, but some of the indicators from the special rectification activities of the requirements of the gap, in the future work will continue to make our hospital antimicrobial drug use more standardized, more reasonable.