Hospital pharmacy department set up: three-level general hospitals set up the pharmacy department, the second-level general hospitals set up the pharmacy department.
Attachment: Basic Standards for Pharmacy Departments in General Hospitals
(Draft)
In order to standardize the basic standards for the construction of pharmacy departments in general hospitals, to promote the development of pharmacy in hospitals, to improve the quality of pharmacy services and the level of medication, to ensure the quality of medicines, and to safeguard the safety of medical care, and to ensure the quality of medicines, in accordance with the "Regulations for the Administration of Drugs of the People's Republic of China", "Provisions on the Administration of Pharmacy Affairs in Healthcare Facilities", and "Measures for the Administration of Prescriptions", it has been given the responsibility to supervise and promote the implementation of relevant regulations and regulations. Provisions" and "prescription management measures" and other relevant provisions, the formulation of this basic standard.
Hospital pharmacy department is a professional and technical section of the hospital, responsible for the relevant pharmaceutical management and pharmacy professional services, specifically undertake: the hospital drug security supply and management; prescription suitability audit, drug dispensing, and safe use of medication guidance; the implementation of the clinical pharmacist system, directly involved in the clinical drug therapy; pharmacy education and applied pharmacy research. It also has the responsibility of supervising and promoting the implementation of relevant pharmacy regulations.
Hospital pharmacy department set up: three-level general hospitals set up a pharmacy department, two-level general hospitals set up a pharmacy department.
Tertiary general hospital pharmacy department basic standards
I. Layout
(1) hospital pharmacy department should be patient-centered, adhere to the principle of wholeness, to ensure the implementation of its functions and tasks;
(2) pharmacy department of the area, the layout and flow of the reasonable, should be able to guarantee the need for the development of its normal work; regional division of a reasonable work area and non-work area should be set up separately; the work area and non-work area should be set up separately. and non-working areas should be set up separately;
(3) the Department of Pharmacy should be set up in accordance with the scale of the hospital, the task and the actual needs of the Department of Pharmacy to carry out the professional and technical work of pharmacy departments (rooms), such as drug dispensing section, clinical pharmacy, drug supply, quality control section, etc.;
(4) the Department of Pharmacy, which is responsible for the task of teaching and scientific research, should be set up with appropriate teaching and scientific research area.
Two, personnel
(a) the Department of Pharmacy job setup and pharmacy staffing, should be able to ensure that the professional and technical functions of pharmacy and pharmacists to fulfill their work responsibilities;
(b) professional and technical personnel of pharmacy should be in accordance with national regulations shall not be less than 8% of the total number of health care professionals and technicians of the hospital. The Department of Pharmacy has set up an intravenous drug dispensing center, the centralized dispensing of intravenous drugs, the personnel required, as well as the Department of Pharmacy's drug accountant, the delivery of drugs, workers, should be equipped according to the actual needs of a separate;
(c) the Department of Pharmacy, pharmacy personnel in the higher education institutions of clinical pharmacy, or pharmacy full-time undergraduate degree or higher, should be no less than 30% of the professional and technical personnel of the pharmacy
(d) No less than 13% of the pharmacy professional and technical personnel with the qualification of associate senior or above professional and technical positions in pharmacy;
(e) The hospital shall, in accordance with the relevant provisions of the health administrative department, train and equip no less than the required number of full-time specialized clinical pharmacists;
(f) Tertiary hospitals with teaching and research tasks shall, according to their tasks and workload to appropriately increase the number of specialized pharmacy technicians.
Three, housing
(a) outpatient dispensary
Outpatient clinic volume of 1501-2500 person-times per day, the dispensary area of 200-280 square meters; daily outpatient clinic volume of more than 2,500 person-times, for every increase of 1,000 person-times, the dispensary area of 60 square meters incrementally; daily outpatient clinic volume of more than 4,500 people, for every increase of 1,000 person-times, the dispensary area of 40 square meters incrementally. The area of the transfer room will be increased by 40 square meters for each additional 1,000 visits.
(B) inpatient transfer room
Beds 501 to 1000: transfer room area of 180-280 square meters; more than 1,000 beds, every additional 100 beds, the transfer room area by 20 square meters.
The Department of Pharmacy has a centralized dispensing center for intravenous drugs, the centralized dispensing of intravenous drugs, the area of the inpatient dispensing room should be reduced by about 30%; only for hazardous drugs and parenteral nutritional solution centralized dispensing should be based on the scale of its dispensing and workload reduced by 5% to 10%.
(C) intravenous drug dispensing center
Daily dispensing 1001-2000 bags (bottles): the dispensing center area of 300-500 square meters; daily dispensing 2001-3000 bags (bottles): the dispensing center area of 500 square meters to 650 square meters; daily dispensing 3001 bags (bottles) or more, every additional 500 bags (bottles) incremental increase of 30 square meters.
(D) Drug Bank
Beds 501 ~ 1000 and outpatient volume of 1000 ~ 2000 person-times / day: the drug bank area of 300 ~ 400 square meters; 1000 beds and outpatient volume of 2000 person-times / day or more, for every increase of 150 beds or outpatient volume of 1,000 person-times / day, the drug bank area of 30 square meters on the basis of the increase in the 400 square meters.
(E) other departmental studios
(A) the Department of Pharmacy should have offices, information rooms, clinical pharmacist offices, drug quality control room, and configure the studio area appropriate to its work;
(B) the Department of Pharmacy other studio rooms should be configured according to the nature of the room, the task, the scale of the actual needs of the configuration. Pharmacy departments undertaking teaching and scientific research tasks shall be equipped with appropriate teaching and scientific research rooms;
(c) the area of the dispensing room and the drug bank, including the area of the room for proprietary Chinese medicines, but excluding the area of the room for Chinese medicine tablets, and the area of the dispensing room for Chinese medicine tablets and its drug bank, in accordance with the provisions of the State Administration of Traditional Chinese Medicine.
Four, equipment and facilities
(a) basic equipment and facilities
at least should be: refrigerated cabinets for medicines, special cabinets for narcotics and psychotropic drugs of the first category, special storage cabinets for medicines, computers, printers, analytical balances, microscopes, acidometers, UV-visible spectrophotometers, fully automated packaging systems, temperature and humidity control systems, large window or counter-type dispensing system and outpatient dispensing room dispensing system. and outpatient dispensary dispensing display screen, etc., and gradually configure the automated dispensing formula system and drug management information system.
(2) Drug quality monitoring and clinical pharmacy, clinical pharmacology equipment and facilities
Should be based on the size of the hospital, the task and workload and other actual circumstances, equipped with equipment and facilities to carry out drug quality monitoring and clinical pharmacy, new drug clinical base and pharmacy education, pharmacy research and other work appropriate. Establishment and configuration of pharmacy information system, clinical medication support system.
(3) Hospital Preparation Equipment and Facilities
According to the workload of preparation, dosage forms, varieties and the relevant regulations of the drug supervision and management department, it is equipped with equipment and facilities suitable for carrying out the work of hospital preparation.
(D) intravenous drug dispensing center equipment and facilities
In accordance with the scale of the hospital's intravenous drug dispensing center and the daily workload of centralized dispensing as well as the "Intravenous Drug Centralized Dispensing Quality Management Code" of the relevant provisions of the centralized dispensing of intravenous drugs and equipment and facilities appropriate to carry out the centralized dispensing of intravenous drugs.
V. Regulations
Establishment of quality management system, formulation of job responsibilities and regulations, including personnel management, facilities and equipment management, drug quality management, drug supply management, prescription transfer management, centralized dispensing of intravenous drugs management, information management, management of high-risk drugs, management of pharmacy research, management of pharmacy education, management of documents and records, document management, safety management, emergency and crisis management. management, safety management, emergency and critical incident management.
Basic standards for pharmacy departments in second-level general hospitals
I. Layout of partitioning
(1) The partitioning of hospital pharmacy departments should be patient-centered, adhere to the principle of wholeness, and ensure the implementation of its functions and tasks;
(2) The area, layout and flow of the pharmacy department are reasonable, and should be able to guarantee the need for normal work; the area should be reasonably divided, and the working and non-working area should be set up separately; and the working and non-working area should be set up separately. and non-working areas should be set up separately;
(3) the Pharmacy Department should be set up according to the scale of the hospital, the task and the actual needs of the Pharmacy Department to carry out professional and technical work in pharmacy studio, such as drug dispensing room, pharmaceutical warehouse, clinical pharmacy room, quality control room, etc..
Two, personnel
(a) the Pharmacy Department post setting and pharmacy staffing, should be able to ensure that the professional and technical functions of pharmacy and pharmacist work duties and tasks completed;
(b) professional and technical personnel should be in accordance with national regulations shall not be less than 8% of the total number of health care professionals and technicians in the hospital to be equipped. Pharmacy set up with intravenous drug dispensing center, the intravenous drug centralized dispensing, the personnel required as well as the pharmacy department of drug accounting, delivery of drugs, workers, should be equipped according to the actual needs of a separate;
(c) pharmacy staff in the pharmacy department of the higher medical colleges and universities of clinical pharmacy or pharmacy full-time bachelor's degree or above, should be no less than 20% of the total number of professional and technical personnel in the pharmaceutical field;
(ii) the professional and technical staff of the pharmaceutical field should be in accordance with the national regulations shall not be less than 8% of the total number of health care professionals and technicians in this hospital. 20%;
(d) pharmacy professionals and technicians with associate senior or above pharmacy professional and technical qualifications should be no less than 6%;
(e) hospitals should be in accordance with the relevant provisions of the health administrative department, training, equipped with no less than the required number of full-time clinical pharmacists;
three, housing
(a) outpatient dispensary
(a) outpatient dispensary
(a) the outpatient dispensary
(a) outpatient volume of 100-500 to 500,000 patients p>Outpatient volume of 100-500 person-times/day, the dispensing room area of 80-110 square meters; outpatient volume of 501-1500 person-times/day, the dispensing room area of 110-160 square meters; 1501-2500 person-times/day, the dispensing room area of 160-200 square meters.
(B) inpatient dispensary
100 to 500 beds: dispensary area of 80 square meters to 180 square meters. Pharmacy set up with intravenous drug centralized dispensing center (room), the implementation of centralized dispensing of intravenous drugs, inpatient dispensing room area should be reduced by about 30%; only the implementation of centralized dispensing of hazardous drugs and parenteral nutrient solution should be based on the scale of dispensing and workload reduction of 5% to 10%.
(C) intravenous drug dispensing center (room)
Daily dispensing of 500 bags (bottles) or less: the area of the dispensing room 100 square meters to 150 square meters; daily dispensing of 501 to 1,000 bags (bottles): the area of the dispensing center of 150 square meters to 300 square meters;
(D) drug storehouse
Beds of 100 to 500, outpatient clinic volume of 100 to 500 visits / day: drug depot area of 80 square meters to 300 square meters;
(v) other departments studio area
(a) the Pharmacy Department should have an office, information and data room, clinical pharmacist office, drug quality control room, etc., and configure its work to carry out the work of the studio area;
(b) the Pharmacy Department of the other studio room area should be in accordance with the nature of its, Tasks, scale and other actual needs of the configuration;
(c) the area of the dispensing room and the drug library, including the area of the room for proprietary Chinese medicines, but does not include the area of the room for Chinese medicine and tablets, the area of the dispensing room for Chinese medicine and tablets and its drug library, in accordance with the provisions of the State Administration of Traditional Chinese Medicine.
Four, equipment and facilities
(a) basic equipment and facilities
at least should be: refrigerated cabinets for medicines, special cabinets for anesthesia and the first category of psychotropic drugs, special storage cabinets for medicines, computers, printers, temperature and humidity control equipment, large window or counter-type dispensing device and outpatient dispensing room dispensing display screen, etc..
(2) Clinical pharmacy and drug quality monitoring equipment and facilities
Should be based on the size of the hospital, the task and workload and other actual circumstances, with the development of clinical pharmacy and drug quality monitoring and other equipment and facilities appropriate to the work.
(C) hospital preparation equipment and facilities
According to the workload of preparation, dosage forms, varieties and the relevant regulations of the drug supervision and management department, the equipment and facilities appropriate to carry out the work of hospital preparation.
(D) intravenous drug dispensing center (room) equipment and facilities
In accordance with the scale of the hospital's intravenous drug dispensing center and the daily workload of centralized dispensing as well as the "Intravenous Drugs Centralized Dispensing Quality Management Code" of the relevant provisions of the centralized dispensing of intravenous drugs and equipment and facilities appropriate to carry out the centralized dispensing of intravenous drugs.
V. Regulations
Establishment of quality management system, formulation of job responsibilities and regulations, including personnel management, facilities and equipment management, drug quality management, drug supply management, prescription transfer management, centralized dispensing of intravenous drugs management, information management, management of high-risk drugs, management of hazardous drugs, documents and records management, document management, security management, emergency and critical incident management. and critical incident disposal management, etc.