Medical Quality Management Self-Investigation Report (Selected 5)
Busy and full of work in the time under the urging of the end of the time, looking back on this period of time, the work, gained the achievements, but also the existence of the problem, will be the achievements and shortcomings of the collection into a self-inspection report it. Are you still struggling to write a self-examination report? The following is my carefully organized medical quality management self-inspection report (selected 5), for reference only, let's take a look.
Medical quality management self-inspection report 1
In order to conscientiously implement the Provincial Department of Health "on the province to carry out the activities of the year of medical service quality management benefits", our hospital has held a number of meetings on this issue, the implementation of the layers of the establishment of a leading group of medical quality management, responsible for the level by level, to improve the quality management system of medical care, the implementation of the various rules, regulations and technical specifications, and strive to improve the quality of our hospital. We strive to improve the service level of our hospital, ensure the quality of medical care, and better serve the health of the people. For the current situation of our hospital, according to the "Linyi City Hospital Medical Quality Inspection Standards", a serious self-examination, to find out the current problems of our hospital, in order to timely and effective correction, focusing on the following aspects of the development of relevant measures:
First, to further improve the business quality of medical personnel:
Seriously study the relevant laws and regulations, systems and norms and technical operation norms, to ensure the quality of medical services, better for the people's health services. The relevant laws and regulations, system specifications and job responsibilities, requiring each medical staff to master and comply with the laws and regulations, system specifications and job responsibilities, professional ethics. Do love and dedication, passionate service. In the first half of the hospital invested more than 10,000 yuan, the number of personnel sent to the provincial and municipal hospitals for further study, there are personnel to participate in the provincial and municipal gynecology, pediatrics, maternal and child health care study sessions. At the same time in order to improve the overall level of medical personnel, comprehensively improve the quality of medical personnel, every Friday regularly organize business learning, regular organization of the assessment, in order to ensure the quality of learning, the examination results and personal economic benefits linked to greatly mobilize the front-line medical personnel to learn the enthusiasm. Through the study for each medical staff to master the basic theory, basic knowledge and basic skills to lay a good foundation. Each medical staff have done to technical excellence, dedication to learning, and actively enterprising, in the work and learning to continuously improve the technical level. In the month of January, the on-the-job workers*** wrote and published a paper, published a paper in the provincial publication, the municipal level. And in the study does not forget to educate all medical personnel in the work of people-oriented, respect, care, convenience, service to the patient's humanistic spirit. So that the majority of health personnel firmly established the concept of wholeheartedly serving the people, to establish a good moral image and professional image. In accordance with the twelve-word civic code of ethics of "patriotism and law-abiding, unity and friendliness, diligence, thrift and self-improvement, dedication and devotion", effective measures have been taken to set off a climax of learning and publicity activities. Let each patient feel in our hospital as if to their own home, feel the civilized wind of modern hospitals.
Second, improve and develop various medical technology:
Our hospital is thin, clinical work is carried out relatively late, in the face of this status quo. The leadership team did not simplify, but strictly quality control, comprehensively ensure that the construction of business units in line with the basic standards of the state or province, and the strict implementation of various diagnostic and treatment technology operation norms, to ensure that the medical technology is safe and effective. In response to the current situation of antibiotic abuse, the leading group of medical quality management did not go with the flow, but strictly regulate the use of antibiotics, control hospital infections, and strive to reduce complications.
Three, make full use of the existing equipment, the purchase of necessary medical equipment, comprehensively improve the level of diagnosis and treatment:
Make full use of the existing equipment, so as not to cause a waste of resources. In order to continuously improve the level of medical care, to meet the needs of clinical care, the beginning of the hospital leadership team based on a high starting point, high standards, strict requirements, one step, raise funds from various sources million yuan to buy a semi-automatic biochemical analyzer, anesthesia respiratory machine, urinalysis, vertical autoclave and other medical equipment. The existing equipment timely maintenance and repair, to ensure normal operation, standardized operation, inspection and treatment effects of safe and reliable, accurate and credible measuring instruments.
Four, the establishment of sound rules and regulations, the strict implementation of the operating procedures:
The implementation of standardized management is the key to improve the quality of service, we have always grasped. The first sound system to strengthen the responsibility. The president seriously implement the system of room inspection, administrative duty system. The medical department to strengthen the collective review of the film system, clinical patient follow-up system, laboratory indoor quality control system. Clinical departments strengthen the first physician responsibility system, resident hourly responsibility system, three-level checkup system, consultation system, preoperative discussion system, difficult case discussion system, death case discussion system and other systems. At the same time seriously implement the provisions of surgical grading management, strict control of surgical indications, strict operation, postoperative observation. In the first half of the year **** completed gynecology, obstetrics surgery cases, without a single case of error. The improvement of medical quality, but also brought good economic and social benefits, clinical business income than the same period last year increased.
Fifth, to ensure the quality of drugs, reagents and medical materials, to ensure that the patient's treatment is safe and effective:
To ensure the quality of drugs, reagents, medical materials, to achieve safe and reliable, in line with the requirements of clinical use, the strict implementation of the "Interim Regulations for the Management of Pharmacological Affairs in Medical Institutions", to improve the monitoring of adverse drug reactions. The management of toxic drugs for medical use, x-ray drugs, radiopharmaceuticals and narcotic drugs is strengthened in accordance with the law. And set up a drug and material purchase management committee, to take the centralized bidding procurement, from the source to eliminate the procurement of unethical practices.
Sixth, to improve the hospitalization environment, to provide patients with good medical conditions:
According to the medical management leading group put forward by the spirit of humanism everywhere, all for the convenience of the patient service requirements. Our hospital at the beginning of this year on the environment of our hospital to do the overall planning, investment of 10,000 yuan to remodel the ward and treatment rooms and the hospital environment, so that the environment is elegant, neat and clean for the patients to provide a convenient and high-quality, warm and comfortable diagnosis and treatment and rehabilitation environment.
Medical quality management self-examination report 2
According to the "medical institutions drug supervision and management methods (trial)" requirements, our hospital in 20xx hospital drug quality management work carried out a self-examination, the results of the self-examination is reported as follows:
First, the leadership attaches importance to the management of the organization is sound
The hospital leadership attaches great importance to the management of the hospital drugs, the establishment of a hospital drug management system, the hospital drug management system, the hospital drug management system, the hospital drug management system, the hospital drug management system and the hospital drug management system. The hospital drug management, set up a hospital pharmacy management team and drug therapy management team, is responsible for supervising and guiding the procurement of drugs, approval of the work of the hospital, scientific management of drugs and rational use of drugs, pharmacy is specifically responsible for the deployment of drugs, drug quality management, the establishment of a clear job responsibilities and seriously implement the various positions.
Second, strengthen the management, the establishment of a sound system of quality management of drugs and pharmacy work system.
The hospital has established and improved the "antibacterial drug classification management system", "pharmacy work system", "pharmacy formula checking system", "drug procurement management system", "drug maintenance work system", "pharmacy staff duties" and a number of other management systems, through the construction of the system, the hospital on the quality of drug management work and the management of the work of the pharmacy has a better The hospital's management of drug quality management and pharmacy work has been better enhanced through the construction of the system.
Three, strengthen the business knowledge training and learning, improve the professional quality of personnel.
The hospital organizes monthly business studies for employees to learn about pharmacy regulations and pharmacy expertise, and conducts relevant assessment tests and establishes training files to further improve the professional skills and expertise of employees.
Four, strengthen the management of drugs, focusing on drug quality.
Strict implementation of the higher management on the management of drug procurement, the hospital's drug procurement is through the Guangxi Zhuang Autonomous Region centralized purchasing platform for drug procurement, drug procurement catalog according to the "National Essential Drugs Catalog", "Urban Health Insurance Catalog", "New Rural Cooperative Medical Essential Drugs Catalog," and the combination of the actual use of the clinic to determine and the hospital's pharmacy management team and pharmacotherapy management team to ensure the quality of the drugs. The drug procurement catalog is determined according to the National Basic Drug Catalog, Urban Medical Insurance Catalog, New Rural Cooperative Medical Basic Drug Catalog and the actual clinical use, and approved by the Hospital Pharmaceutical Affairs Management Team and Pharmacotherapeutics Management Team, and approved by the hospital leadership. The hospital has set up a file of supplying units and strictly examined the qualifications of supplying units and salespersons to ensure that qualified medicines are purchased from legally qualified enterprises. I hospital in strict accordance with the higher health management departments and drug supervision departments of the management of the provisions of the drug business qualification from the enterprise bidding drug business enterprise Guangxi Jianyi pharmaceutical procurement purchase of drugs and equipment. Recorded the "business license" of the drug business enterprise, "drug business license", "GSP certification", the original authorization letter of the sales staff and a copy of the ID card, signed a drug quality assurance contract. According to the Drug Administration Law and relevant drug laws and regulations, and in combination with the actual situation of our hospital, we have formulated relevant drug quality management systems: including drug purchase, acceptance inspection and maintenance system, prescription allocation and prescription management system, near-expiry drug management system, special drug management system, adverse drug reaction reporting system, etc. We have also set up a drug quality management system to ensure the quality of drugs. Purchased special drugs are managed in accordance with the regulations, stored in special libraries, equipped with anti-theft and monitoring facilities, and managed with double locks. Special accounts are kept, and the accounts are in line with the goods. The purchased drugs have legal tax stamps of the supplying units and detailed lists, which contain the generic names of drugs, manufacturers, batch numbers, specifications, quantities, prices, etc. The purchase and acceptance system is implemented, and the purchased drugs are inspected and accepted by two persons, and authentic and complete drug acceptance records are established. Drug acceptance records include the generic name of the drug, manufacturer, specifications, dosage form, batch number, expiration date, supply unit, quantity, price, date of purchase, date of acceptance, acceptance conclusions and other content. Purchase and acceptance records of drugs and equipment, complete records of receipt, issuer, receiver double signature is responsible for the records on file. Drugs with expiration dates of less than 6 months are warned in the management system and reported to the departments for promotion. Pharmacy, drugstore daily inspection and maintenance of drugs, once a month for drugs, medicines, mold and deterioration of the expired reported loss of reported loss work, for good reporting and approval procedures and destruction of the approved procedures, make a good record of destruction, destruction of people, supervisors double-signature, the year *** reported loss of 11 batches of expired medicines. Pharmacy, pharmacy are installed air-conditioning equipment for temperature and humidity control, refrigerator storage related to drugs, drugs can be stored in accordance with the storage requirements.
V. Strengthen the management of the pharmacy.
In accordance with the requirements of the standardized construction of the pharmacy placed drugs, regional positioning signs are obvious, internal and external drugs stored separately, easy to string of smells stored separately, the daily display of drugs for maintenance, monitoring temperature and humidity, such as exceeding the prescribed range, and take timely measures to regulate. Qualified pharmacy technicians are responsible for reviewing and dispensing prescriptions in accordance with the law. Pharmacy technicians are responsible for reviewing and dispensing prescriptions and providing guidance on the safe use of medicines. When dispensing prescriptions, they strictly implement the "four checks and ten pairs" system to ensure the accuracy of the medicines issued. No unauthorized changes in prescriptions, questionable, contraindicated, overdose prescriptions should be refused to mix, if necessary, by the prescriber to correct or re-sign before mixing. Both the auditing and dispensing personnel sign on the prescription. Strictly implement the relevant provisions of prescription management, prescription is valid on the day of issuance, prescription drug dosage is generally not more than 7 days of dosage; emergency prescription is generally not more than 3 days of dosage; special drugs should be strictly use special prescription, drug prescription preservation for 2 years. Health checks are conducted annually for staff in direct contact with medicines, and health records are established. Directly in contact with the drugs 'staff do not suffer from infectious diseases or other diseases that may contaminate the drugs, physical health.
Six, conscientiously implement the adverse drug reaction monitoring and reporting system.
In 20xx, our hospital **** reported 8 cases of adverse drug reactions, 1 case of adverse drug reactions and 50 cases of drug abuse to the drug monitoring department.
Medical quality management self-examination report 3
My company was founded in 20xx, and in March 20xx to obtain a medical device license, the company's address is located in the city of xx National Avenue 89, in order to ensure a better implementation and improve the company's medical device business quality management, is now the results of the self-examination report is as follows:
1, personnel management: our quality control department work by professional and technical personnel, licensed and certified to perform the work, and the quality control department of the company. Technical personnel, licensed to work, and regular training of medical laws and regulations and related systems to ensure the smooth progress of the work; the annual organization of the company's employees to carry out health checks, and build a health file.
2, duty management: our company has established a management system includes: quality management organization or quality management personnel duties; quality management provisions; procurement, receipt, acceptance provisions; supplier qualification audit provisions; warehouse storage, access, transportation management provisions; sales and after-sales service provisions; provisions of unqualified medical device management; medical device return, replacement provisions; Medical device adverse event monitoring and reporting requirements; medical device recall requirements; facilities and equipment maintenance and verification and calibration requirements; health and personnel health status requirements; quality management training and assessment requirements; medical device quality complaints, accident investigation and handling of the report requirements; the first enterprise/first varieties of audit records; purchasing records; purchase inspection records; in-store maintenance, inspection records; out-of-store, transportation Sales records; after-sales service records; quality inquiries, complaints, sampling records; return records; records related to the disposal of substandard products; warehouse (temperature, humidity) storage conditions monitoring records; transportation cold chain/insulation monitoring records; the use of measuring instruments, calibration records; quality accidents investigation and handling report records; records of adverse event monitoring reports; medical device recall records; quality management system implementation Inspection and assessment records, etc. The above systems are complete, reasonable and feasible, and there are corresponding implementation records.
3, facilities and equipment management: the warehouse is divided into corresponding areas, the implementation of district management, including the inspection area, qualified area, unqualified area, shipping area, effective isolation of equipment and the ground between the shelves, according to the regional arrangement, neat and orderly, the warehouse is equipped with anti-rodent and anti-mosquito facilities, equipped with a temperature and humidity meter, and the annual verification of apparatus.
4, purchase receipt and acceptance management: before purchasing goods must check the manufacturer's business license, medical device manufacturing / business license, medical device registration certificate or record certificate, and the sales staff's authorization. Sign a purchase contract with the manufacturer, which must state the name, specification, registration number or record certificate number, manufacturer, supplier, quantity, unit price, amount and after-sales service terms of the device. Upon receipt of the device, the contract and the accompanying counterparts must be checked with the arrival of the device, after verification into the appropriate area, and then notify the receiving and inspection personnel for warehousing, warehousing personnel in accordance with the name of the device, specification number, registration certificate number, batch number, date of production, production company, supplier, the number of arrivals, the date of arrival and the arrival of the device to check, and strictly do a good job of recording,
5, Storage management: according to the instructions or packaging labeling storage requirements for storage devices, partitioning, classification storage, medical equipment and non-medical equipment are stored separately, and shall not be stored and storage management has nothing to do with the goods. For unqualified products, put them in the unqualified area, indicate the unqualified matters, and take measures such as return and destruction. Daily temperature and humidity monitoring records of the warehouse, the appearance of the inventory of medical equipment, packaging, expiration date and other quality conditions for inspection, in the event of damage or expiration date of the device reported by the person unified processing, and carefully registered, more than the expiration date of the product, prohibit the sale.
6, sales management: sales records include the name of the device, specifications, registration certificate number or record certificate number, quantity, unit price, amount, production batch number, expiration date, date of sale, manufacturer, manufacturer's license number, and the name of the hospital, address, contact information. Outbound review of the hospital, the name of the medical device, specifications, registration certificate number or record certificate number, production batch number, date of production and expiration date, manufacturer, quantity, date of release and so on. Packaging damage, contamination, sealing is not secure, seal damage, labeling, blurred handwriting or labeling content does not match the physical, more than the expiration date of the goods are prohibited from leaving the warehouse. Follow the "first in, first out" principle when leaving the warehouse, complete records.
7, after-sales management: after-sales management personnel such as fault notification must respond within two hours, such as telephone can not be resolved, within 24 hours to arrive at the scene of the maintenance, and regular return visits to customers, such as the occurrence of adverse events of the device, immediately find out where the incident occurred, the time, the adverse reactions or adverse events of the basic situation, and make a good record of it, and quickly reported to the District Drug Administration.
Through this self-examination, our company seriously study the law, standardize the operation and use of behavior, and further self-improvement, strengthen the safe use of medical equipment system, standardize the operation and use of medical equipment behavior, strengthen their own quality management system, enhance the knowledge of law-abiding awareness, and improve the overall level of the company. In the actual work and implementation, there may be some easily overlooked, subtle aspects of the problem, hope that the higher leadership of the work of my company to put forward valuable advice.
Medical quality management self-inspection report 4
In accordance with the instructions of the City Food and Drug Administration and the provisions of the regulations, in the hospital under the organization of the leadership of the hospital focused on the whole hospital medical equipment, equipment for a comprehensive inspection, is now the specific situation reported as follows:
First, strengthen the management, strengthen the responsibility to enhance the awareness of the responsibility for the quality
The medical device quality management personnel, engaged in medical device quality management staff with medical device-related professional knowledge, familiar with the relevant laws and regulations, to be able to fulfill the medical device quality management responsibilities, effectively undertake the hospital medical device quality management responsibility, guidance, supervision and the implementation of the quality management system to check, correct and continuous improvement, collection and medical device use of the quality of the relevant laws and regulations, and product quality information, etc., Collect laws, regulations and product quality information related to the use of medical devices, implement dynamic management, and establish files, supervise the relevant departments and positions to implement the medical device laws and regulations, review the legal qualifications of medical device suppliers and medical device products, responsible for the acceptance, procurement and maintenance of medical devices, check the quality of medical devices, supervise the treatment of unqualified medical devices, organize the investigation and treatment of medical device quality complaints and quality accidents, organize the development of medical device adverse events, and the implementation of medical device quality control. Quality accidents, the organization to carry out monitoring and reporting of adverse events of medical devices, the establishment of quality management system covering the whole process of quality management.
Self-inspection of the procurement, acceptance and warehousing of medical devices
In order to ensure the quality and safety of the use of purchased medical devices, and to eliminate the entry of unqualified medical devices, the hospital has established the "Medical Equipment Procurement, Acceptance and Warehousing Management System," the "large-scale equipment bidding and purchasing system" as well as the "Medical Equipment File Management System". In accordance with the provisions of the "supervision and management of the quality of medical equipment use", the hospital re-organized the procurement and acceptance records, and medical equipment related qualification files, and logged into the State Food and Drug Administration website to verify the registration certificate number of medical devices, to eliminate the purchase of unlicensed purchase, purchase of false certificates, purchase of unqualified certificates, the purchase of imported medical devices without Chinese manuals, Chinese labels, Chinese labels, the purchase, the expired The company's products and services have been widely used in the medical field, and have been used to ensure the safe and legal use of medical devices.
Three, the medical equipment warehouse storage conditions of self-examination
To ensure the quality of medical devices in the warehouse storage, our hospital on the material warehouse warehouse, the inspection department warehouse and various departments of the warehouse inspection, including storage temperature, humidity and the surrounding environment is in line with the storage conditions of the medical equipment in the warehouse. We also organize special personnel to do the daily maintenance of medical equipment.
Fourth, the self-inspection of Class III medical devices (focusing on implantable medical devices)
Implantable medical devices belong to the high-risk medical devices, in order to ensure that people use implantable devices safety, effectiveness, the hospital has developed a "implantable medical device purchase management system. The conditions for the purchase of medical devices and the qualifications of the supplier to make strict provisions for the implantable medical devices submitted to a series of qualifications, in accordance with relevant laws and regulations for strict examination and verification. The company's goal is to strengthen the information management of implantable medical devices, establish a sound review system for implantable medical device purchasing, warehousing, storage, use, and disposal, etc., and record the product information in detail, and all the information into the patient's case file for management.
V. Detection and management of suspected adverse events of medical devices
To strengthen the management of unqualified medical devices, to prevent unqualified medical devices into the clinic, our hospital has specially formulated the "Medical Device Adverse Event Reporting System". If an adverse event of medical device occurs, it should find out the location, time, adverse reaction or basic situation of the adverse event, and make a record, and quickly report to the supervision and management of medical devices.
Six, the repair, maintenance and after-sales service of medical equipment self-examination
In order to make the medical equipment in a safe state of use, as well as in line with the technical requirements of the standard, our hospital has developed a "medical equipment maintenance and repair system", in accordance with the provisions of the production of the "maintenance of medical equipment repair and maintenance records", the cause of the failure of the equipment, The reasons for the failure of the equipment, the parts that need to be replaced, and the state of the equipment after repair are all recorded. The hospital also made a "first aid, life support medical equipment inspection record" for first aid medical equipment, requiring each department to do a good job of checking the first aid equipment every day to ensure that the equipment is in a state of readiness.
Self-inspection problems and the need for improvement
After a period of self-inspection and self-correction, the hospital's management of medical equipment has become more formalized, but there are also some problems, such as: the warehouse expired, unqualified medical equipment can not be destroyed in a timely manner, the classification of the warehouse, the layout of the zoning is unreasonable, and there is no medical equipment maintenance and repair. The medical equipment maintenance and repair of the technical staff to carry out training and assessment work.
Eight, our future focus on medical equipment
Effectively strengthen the hospital medical device safety work, to prevent the occurrence of medical device safety incidents, to ensure that the majority of patients using medical equipment safety, the future we intend to:
1, to further increase the dissemination of knowledge of the safety of medical devices, the implementation of relevant systems, to enhance the responsibility of the hospital medical device safety. system to improve the hospital medical device safety awareness of responsibility.
2, increase the hospital medical device safety work daily inspection, supervision frequency, timely investigation of medical device safety hazards, firmly establish the "safety first" consciousness, regularly engaged in the maintenance of medical equipment and repair of technical personnel to carry out training and assessment work to improve the level of service.
3, continue to cooperate with the higher authorities, consolidate the achievements of the hospital medical equipment safety work, *** with the creation of a good atmosphere for medical equipment, to build a harmonious society to make greater contributions.
Medical quality management self-examination report 5In order to implement the flag Food and Drug Administration on the quality of our hospital drugs, medical devices, quality inspection, to protect the people's use of medical devices safe and effective, standardize the use and management of drugs. The hospital set up a self-examination team headed by the president, in accordance with the Xiwuqi Health Bureau issued "on the effective strengthening of medical institutions at all levels of drugs, medical equipment safety management notice" and "Drug Administration Law", "Drug Use Quality Management Standard", "standardize the standards of the pharmacy" one by one self-check, one by one, self-checking the team did a lot of detailed self-checking, self-checking the report is as follows:
One of the institutions, personnel and the medical device quality inspection of the hospital. strong> A, institutions, personnel and systems:
Our hospital has a "medical institutions practice license" and other legal qualifications. The establishment of a drug quality management organization, composed of the director in charge, the head of the Pharmaceutical and Device Section, the head of the pharmacy, the quality of the person in charge, the purchaser, to clarify the responsibilities of all levels of personnel and institutions. At the same time, various quality management rules and regulations have been formulated as a guarantee and are carefully organized and implemented. At the same time, we have established and improved our hospital's pharmacy management committee, clinical rational use of antimicrobial drugs supervision and guidance group.
Our hospital has established a continuing education training program, focusing on the training of the "Chinese People's **** and the State Drug Administration Law", "Medical Institutions Pharmaceutical Management Regulations", "Medical Devices Supervision and Management Regulations", "Antimicrobial Drugs Clinical Application Guiding Principles", "Antimicrobial Drugs Clinical Application Management Measures", "Prescription Management Measures", "Inner Mongolia Autonomous Region 20xx Antimicrobial Drugs Clinical Application Special Rectification activities program" and other laws and regulations, the basic theory of national drugs and medical care and the flag health bureau issued on strengthening the supervision and management of drugs, medical equipment, storage and preservation, the use of normative documents to improve the quality of personnel, and to further standardize the drugs, medical equipment from the procurement, acceptance into the warehouse and the storage and preservation of all aspects of the use of strictly in accordance with the provisions of the regulations. The personnel engaged in the work of drugs in direct contact with the drugs every year to carry out health checks, and establish a health file, to ensure that the use of drugs in the process of safety and effectiveness.
Second, procurement and acceptance:
Strictly in accordance with the centralized purchasing system for medicines formulated by the higher-level health bureau for the procurement of medicines. Purchase of drugs from enterprises with the qualification of drug production and operation; acceptance of drugs into the warehouse in strict accordance with the standard operating procedures, strictly in accordance with the statutory quality standards and contractual quality terms of the quality of the purchased drugs, the return of drugs after the sale of the batch-by-batch acceptance.
Three, the implementation of standardized pharmacy management system:
Strictly in accordance with the standards of standardized pharmacy, the management of the hospital's Mongolian and Western pharmacy, pharmacy.
Fourth, drug storage and maintenance:
Warehouse is divided into a drug warehouse, medical equipment warehouse, each warehouse are divided into qualified area, pending inspection area, unqualified area, each area in accordance with the provisions of the implementation of the color-coded management, i.e., the qualified area for the green, pending inspection, the return of the area of the yellow, the unqualified area for the red. After acceptance, in strict accordance with the drug storage, maintenance system of drug storage, categorized storage, according to the drug storage conditions and requirements of the storage in the appropriate library area, the drugs according to the batch number, the expiration date of centralized stacking, according to the batch number and the validity of the near and far or separate stacking, the near-expiry date of the drugs fill in the validity of the table every month.
Fifth, the deployment of drugs:
Pharmacy staff to deploy drugs, must be with a registered medical practitioner issued by the prescription, non-physician prescription shall not be deployed medicines, drug deployment work in strict accordance with the requirements of the four checking ten pair of deployment, the issuance of the first to follow the "first produced first out of", "the near future, the first to be issued", "the first to be issued", "the first to be issued", "the first to be issued", "the first to be issued", "the first to be issued". "The first thing you need to do is to make sure that you have a good understanding of what you are doing and how you are doing it.
Six, adverse reaction monitoring:
The establishment of adverse drug reaction monitoring management team, designated full-time or part-time personnel responsible for adverse drug reaction reporting and monitoring work, the establishment and preservation of the adverse drug reaction monitoring file, take the initiative to collect the adverse drug reaction, through the National Adverse Drug Reaction Monitoring Information Network Reporting, report content should be true, complete and accurate. The report should be true, complete and accurate.
Specialty medicines:
Specialty medicines have safety storage measures in accordance with the provisions of the implementation of the double double locks, the account is consistent with the management of the five special. Purchase of special drugs should be carried out on arrival that inspection, double open boxes, count to the smallest package, and have a special acceptance records, return, expiration, unqualified special management of drugs and the provisions of the recovery of waste should be destroyed under the supervision of the health department, the destruction of records should be consistent with the to be.
VIII. Problems found in the inspection:
Through the self-checking team of the hospital use of drugs in all aspects of quality management work on self-checking, from the personnel organization, management system, hardware and facilities, management records to carry out a comprehensive and detailed self-checking, basically to meet the requirements of the use of drugs and quality management regulation, but also found some However, some shortcomings were found, such as poor hygiene, untidy arrangement of medicines, lack of standardization of sorting, lack of obvious zoning, lack of detailed writing records, etc., in individual places involving medicines, such as the drugstore, pharmacy, and pharmacy of outpatient clinics. Ordered the relevant personnel in each department must be according to the system to seriously rectify, and implement to the person.
Nine, the rectification of the situation:
I hospital in the self-inspection and mutual inspection on the basis of the rectification of the following problems:
1, the development of the system of confusing medicines and marking, and affixed next to the classification of out of the confusing medicines.
2, developed a system of in-service education and training and training programs focusing on ethnic medicine.
3, developed a medical device purchase inspection record system.
4, developed a medical device adverse event monitoring system.
5, strengthened the care and maintenance of large medical equipment. The medical equipment inspection, maintenance and related records were made up and will be implemented for a long time.
6, strengthened the adverse reaction and medical device adverse event monitoring.
In the actual work and implementation, there may be some easily overlooked, subtle aspects of the problem, hope that the higher leadership of the work of our hospital to put forward valuable advice. In the future work, we will certainly make persistent efforts to do a better job of our hospital's pharmacy work, to protect the people's drug safety.