Summary of rational drug use activities

Chapter 1: Publicity and summary of rational drug use.

According to the Implementation Plan of Health Education for Rational Drug Use, the leaders of our hospital attach great importance to it, make careful arrangements and conscientiously implement it. On September 7th, a publicity campaign with the theme of "rational drug use and health enjoyment" was held at the Town Fair. The report on the development of this activity is as follows:

First, attach great importance to it and make careful arrangements

After receiving the notice of publicity, the leaders of our hospital attached great importance to it, promptly convened relevant departments to hold a special meeting, and combined with the actual work of our hospital, formulated a publicity plan. The health education department is responsible for this publicity activity, and the pharmacy department and the medical department coordinate. At the same time, in view of the festival, our hospital has formulated a feasible publicity plan, concentrating time, energy and personnel to ensure the smooth development of this activity.

Second, close to the masses and strive for practical results.

The health education department, pharmacy department and clinical medicine department of our hospital participated in the publicity activities. The activities introduced the knowledge of rational drug use and the laws and regulations of drug supervision to different groups in an easy-to-understand form through electronic screen scrolling, publicity column publicity at town and village levels, health education tour, hanging banners, distributing publicity materials, medical consultation and distributing publicity materials, which were well received by the masses. In this publicity activity, the electronic screen is scrolled for 4 hours every day, the publicity content *** 12 is posted at the town and village levels, the health lecture tour 10 is held, 5 propagandists are dispatched, the slogan 1 is hung, and more than 6 copies of publicity materials1kloc-0/0 are distributed.

More than 58 people were diagnosed. Through publicity, the public has further understood the basic knowledge of rational drug use and enhanced the people's awareness of self-protection.

Third, the existing problems:

In this activity, although we publicized the knowledge of rational drug use and drug supervision laws and regulations to the masses and established the public image of the hospital, we also realized that there were still some problems in our work. First, the frequency and depth of our publicity activities on rational drug use are not enough. Second, the professional knowledge we have is not refined, so we can't give the masses a more reasonable explanation. Therefore, in the future work, our hospital will increase the professional knowledge training of relevant personnel, continue to strengthen the publicity form of rational drug use, and take various measures to effectively improve the effectiveness of publicity, so as to make due contributions to ensuring the rational drug use of the masses.

clinic

September 9th, 20xx

Part II: Report on rational drug use in hospitals.

Leaders and experts:

First of all, I would like to thank all the leaders and experts for guiding our hospital to improve the quality control level of pharmaceutical affairs and promote the continuous improvement of rational drug use in our hospital.

The work done by our hospital in clinical rational drug use is reported as follows:

First, improve the establishment of rational drug use management organization

The Pharmaceutical Affairs Management and Drug Treatment Committee and its related pharmaceutical affairs management groups were established: antibacterial drugs management group, rational drug use supervision group, narcotic psychotropic drugs management group and adverse drug reaction monitoring leading group. Reasonable organizational structure and clear responsibilities: the Pharmaceutical Affairs Management and Drug Treatment Committee is responsible for drafting and establishing corresponding working systems and operating procedures, and the pharmacy department organizes the specific implementation.

The newly established clinical pharmacy room has begun to take shape in terms of office space, staffing, various rules and regulations, and its work is gradually on the right track. With the help of Dongying People's Hospital and other superior hospitals, we began to train clinical pharmacists, be responsible for the comments on prescriptions and medical records, and participate in ward rounds of departments. And in accordance with the requirements, specially equipped with rational drug use software and prescription review software, timely and comprehensive review of medical records.

Second, strictly limit prescriptions and strictly control the dosage of drugs.

Establish a drug selection system, determine the hospital's basic drug supply catalogue according to the requirements of "one product and two regulations", and formulate the hospital's "Drug Prescription Set" and "Basic Drug Supply Catalogue". Drugs for clinical use are purchased and supplied by Pharmacy Department, essential drugs and commonly used drugs are purchased through the platform, and non-essential drugs and commonly used drugs are purchased through xxx Health Planning Commission. Encourage the priority use of basic drugs and medical insurance drugs, and use expensive drugs and medical insurance patients.

Self-funded users must obtain the consent of patients or their families and sign an informed consent form.

According to the Prescription Management Measures, the prescription quantity of outpatient doctors should be strictly limited within 7 days, and the emergency prescription should not exceed 3 days. According to the prescription review system, the outpatient and emergency prescriptions and doctor's orders are reviewed every month, and irregular prescriptions and inappropriate prescriptions are intervened. Make special comments on the medical records of antibacterial drugs, and publish the comments regularly. It is found that individual doctors and departments use drugs abnormally and ask the doctors concerned to explain. For unreasonable prescriptions and large prescriptions, according to hospital regulations, the responsible person will be deducted from performance pay and prescription publicity in the current month, and the responsible person with serious circumstances will be admonished to talk. The dean signed a letter of responsibility with the heads of clinical departments, demanding that the proportion of drugs in each department be controlled within a certain range, and the corresponding rewards and punishments should be given in proportion if it is below or beyond the prescribed limit.

Third, monitor the total amount of single drug.

Establish a dynamic monitoring and extraordinary early warning system for drug consumption. The hospital pharmacy department sorts the total consumption of a single variety in our hospital every quarter, statistically analyzes the top ten drugs in sales amount, and reports them to the clinical rational drug use steering group for public analysis, so as to warn the drug dealers of the obviously unreasonable varieties. For serious or uncorrected varieties after early warning, dealers and production enterprises will replace them until they are withdrawn from the hospital for sale, and departments that use unreasonable drug varieties will be given a warning.

Four, the implementation of the "management measures" of clinical application of antibacterial drugs, improve the level of clinical rational use of antibacterial drugs.

Set up an antibacterial drug management team chaired by the vice president of the hospital, formulate articles of association, clarify responsibilities, and check, intervene and improve the irrational use of antibacterial drugs. Antibiotic management team regularly monitors and evaluates the clinical application of antibiotics in hospitals. Formulate the detailed rules for the management of clinical application of antibacterial drugs and the classification management system of antibacterial drugs, including the detailed rules for the management of clinical application of antibacterial drugs, the classification management system of antibacterial drugs, the evaluation criteria and approval procedures for the clinical application of antibacterial drugs under special management.

The clinical application of syndrome is reasonable. The dean signed a letter of responsibility with the heads of clinical departments, demanding that the proportion of antibacterial drugs used in each department be controlled within a certain range. The Quality Control Department conducts routine quality management through medical record examination, prescription examination and other forms, conducts special supervision on the rational use of antibacterial drugs according to the requirements of the Guiding Principles for Clinical Application of Antibacterials of the Ministry of Health, regularly analyzes the rational use of antibacterial drugs in hospital medical records and outpatient prescriptions, checks the hospital medical records and outpatient prescriptions every month, and punishes those who use antibacterial drugs unreasonably in excess of the prescribed proportion according to regulations. In the first half of 20 15, the utilization rate of antibacterials in outpatient department was 19%, that in inpatient department was 44. 1%, that in type I surgical incision was 2 1.2%, and the DDDS per 100 patients was controlled at about 38.

Five, the implementation of the "Regulations on the administration of narcotic drugs and psychotropic drugs", standardize the management of special drugs.

Regularly organize the training of Yamatonokusushi, a doctor, on the knowledge of narcotic drugs and psychotropic drugs and standardized hospital management. Without training and assessment, prescriptions for narcotic drugs and psychotropic drugs may not be issued and deployed. There are regulations on the identification, storage and use of high-risk drugs such as high-concentration electrolytes and chemotherapy drugs and easily confused drugs. Drugs with similar packaging, sound and appearance, and drugs with multiple specifications or dosage forms shall be stored with clear warning signs.

Six, the implementation of adverse drug reactions and drug error reporting system, strengthen drug safety monitoring.

According to the Administrative Measures for Adverse Drug Reaction Reporting and Monitoring and other laws and regulations, the hospital set up an adverse drug reaction monitoring leading group headed by the business dean, established the system and process for the management of adverse drug reaction and drug injury event monitoring reports, issued the corresponding reward and punishment system, and included the adverse drug reaction monitoring in the main content of the department's year-end work target assessment. The leading group for ADR monitoring is responsible for the collection, recording, investigation, analysis, evaluation, handling and reporting of ADR used in our hospital.

Internal publicity and training, timely release of drug early warning information in the hospital intranet, so that medical staff can grasp the adverse drug reaction information in time.

Through the summary of the above contents and practical work experience in recent years, we believe that rational drug use in our hospital benefits from the following two aspects:

1. Leaders attach importance to:

Important pharmaceutical organizations, such as the Pharmaceutical Administration and Drug Treatment Committee and the Antimicrobial Drug Management Group, are all led by the President and personally led by the top leaders. Long before the zero price difference of drugs was implemented, hospital leaders began to control the cost of drugs and reduce the unreasonable growth of drug expenditure; After the implementation of zero price difference of drugs and social security cost control, the control of drugs and consumables costs is the main means to control medical expenses. Through continuous treatment, the proportion of drugs in the hospital has been declining, and the proportion of drugs in the hospital has dropped to about 3 1 in the first half of this year.

2. Software support:

HIS system, the dean's inquiry system in the hospital, can help the dean to check the statistics and details of the expenses of various departments at any time. The medical department can call and check the running medical records of various departments and doctors at any time, and monitor the unreasonable medical record writing and medication immediately; Antimicrobial drug authority management sets antibacterial drug authority for each doctor, and warns prescriptions and doctor's orders beyond the authority; The software of rational drug use is embedded with drug instructions, and the system will give tips when doctors prescribe or give orders, as well as when drugs interact, so as to avoid irrational drug use to the greatest extent.

Finally, I urge the leaders and experts of your hospital to put forward valuable opinions on rational drug use in our hospital and help improve the pharmaceutical affairs in our hospital. Thank you.

Chapter III: Summary of Rational Drug Use Training

* * * Hospital

Training Summary of "Popularizing Knowledge of Rational Drug Use"

March 3, 20xx,

* * * The hospital responded positively.

* * * Proposed by the Health Bureau.

"Rational use of drugs, * * * enjoy health.

Kang "as the theme of activities,

The medical staff and rural doctors in our hospital were trained in "popularizing the knowledge of rational drug use" Through this training, the awareness and concept of clinical rational drug use have been effectively enhanced, the knowledge of rational drug use has been popularized, and the level of rational drug use of farmers in our township has been further improved. However, some rural doctors have limited acceptance and cannot fully grasp the training content. In the future, our hospital will continue to strengthen the training of medical staff and rural doctors on rational drug use, and urge rural doctors to strengthen theoretical research on rational drug use.