01
Official notice: village health center, strictly prohibited to carry out the business of infusion
According to the content of the "notice", the practice of village doctors will be further standardized, especially in this point: The company's main goal is to provide the best possible service to its customers, and to provide the best possible service to its customers. In other words, it was announced that all village health centers are not allowed to carry out infusion services, regardless of whether or not they are licensed by the local health department. And as early as last year, Shandong Province, Laizhou City, the Health Bureau issued a red-headed document, clear: comprehensive requirements within the jurisdiction to give intravenous drug delivery license filed under the first level of medical institutions (including clinics, village clinics) to stop the intravenous drug delivery service, the violation of the agency will be severely investigated! It is reported that Shandong Laizhou City, the reason for the comprehensive ban on transfusion is because of the place where two patients in the intravenous infusion process in the sudden accidental resuscitation of the death of the case, Laizhou City, the Bureau of Health Supervision found that: relevant institutions of the medical staff of the first aid skills knowledge is not comprehensive, first aid drug application indications are not familiar with the emergency emergency resuscitation of the safety of the hidden danger.02
National Health Commission: From this year onwards, the infusion of liquid is fully restricted
In August this year, the National Health Commission issued an important document on primary health care. In the 42 assessment indicators for primary health care organizations announced by the National Health Commission, there are two restrictions on the primary indicators: 1 Antibacterial drug prescription ratio: Reach the relevant requirements set by the province (region, city). Antibacterial drug prescription ratio = the number of prescriptions containing antimicrobial drugs / total number of sampled prescriptions × 100%. 2 Proportion of intravenous agent use Proportion of intravenous agent use: to meet the relevant requirements of the province (autonomous regions and municipalities). The proportion of intravenous injection = the number of prescriptions containing intravenous injections / total number of sampled prescriptions × 100%. In other words, the grass-roots medicine will meet a greater challenge, antimicrobial drugs and infusions have more restrictions. In April this year, the State Drug Administration Drug Evaluation Center released the latest issue of the National Adverse Drug Reaction Monitoring Annual Report, which shows:Injectable drugs accounted for far more than the proportion of oral drugs (as shown in the figure below). In the injectable drug delivery, intravenous drug delivery and accounted for src="/mmbiz_png/90ibBeoXPAHXMy2eZRYKzfIlia6bkGycE7VIhefsgdpoIF3IbVhx1HGEtgt3qzkMB2xaPiaIqcWUV3VmfJPDSPhHQ/640?wx_
The report re-emphasizes: if the drug can be administered orally, do not choose to inject it; if the drug can be administered intramuscularly, do not choose to administer it intravenously or by drip.
03
"Restricted transfusion" and "forbidden transfusion" is a means but not an end
In recent years, "whether the infusion" has become the hottest topic of discussion in the circle of primary care doctors. Some people say that the grassroots do not have the requirements to rescue allergy patients, should be completely banned; some people say that the infusion of some patients, the efficacy of the requirements of the mouth drug useful, so can not be "one size fits all". In summary, the author believes that: limit transfusion, banning transfusion is necessary, but also to take into account the obscurity of the prohibition of infusion is not a solution to the fundamental problem, in the scope of the provisions of the primary health care institutions to carry out the infusion of diagnosis and treatment is also not impossible. Just for our doctors, in principle, we must adhere to the oral without infusion, can be given by intramuscular injection, do not choose intravenous injection or drip to give drugs. And such *** knowledge, these years more and more grass-roots physicians, especially the recognition of rural doctors, through the majority of village doctors by word of mouth, so that the villagers realize that the infusion is not omnipotent, which is the fundamental solution to the grass-roots "abusive transfusion" of the source!04
Village health clinic infusion reaction rescue process, drug list
Finally, through the major cases over the years, it is not difficult to find that the drug allergy is the primary health care institutions in the most common medical malpractice in the intravenous infusion.