Self-inspection report of medical quality management

Self-inspection report on medical quality management (selected 5 articles)

Busy and substantial work has come to an end under the urging of time. Looking back on the work in this period, we have made achievements, but there are also problems. Let's collect the achievements and shortcomings into a self-inspection report. Are you still worried about writing the self-inspection report? The following is my self-inspection report on medical quality management (5 selected articles), which is for reference only. Let's have a look.

Self-inspection report on medical quality management 1 In order to conscientiously implement the opinions of the Provincial Health Department on carrying out the year of medical service quality management in the whole province, our hospital has held relevant meetings for many times, and set up a leading group for medical quality management, which is responsible for improving the medical quality management system step by step, implementing various rules and regulations and technical operation specifications, and striving to improve our service level, ensure medical quality and better serve the people's health. In view of the present situation of our hospital, according to the "Linyi Hospital Medical Quality Inspection Standard", we conducted a serious self-examination to find out the existing problems in our hospital. In order to correct these mistakes in time and effectively, relevant measures have been formulated from the following aspects:

First, to further improve the professional quality of medical staff:

Seriously study relevant laws and regulations, system norms and job responsibilities, and require every medical staff to master and abide by laws and regulations, system norms and job responsibilities and professional ethics. Wholehearted and enthusiastic service. In the first half of the year, the hospital invested 1 10,000 yuan, sent 100 people to provincial and municipal hospitals for further study, and 100 people attended gynecological and pediatric maternal and child health classes held by provinces and municipalities respectively. At the same time, in order to improve the overall level of medical staff and improve their professional quality in an all-round way, business study and assessment are organized regularly every Friday. In order to ensure the quality of study, examination results are linked to personal economic benefits, which greatly mobilized the learning enthusiasm of frontline medical staff. Through study, lay a good foundation for every medical staff to master basic theory, basic knowledge and basic skills. Every medical staff strives for perfection in technology, devotes himself to study, makes positive progress, and constantly improves the technical level in work and study. In May, the on-the-job staff wrote and published papers, published papers in provincial journals and published papers at the municipal level. Do not forget to educate all medical staff to embody the humanistic spirit of people-oriented, respect, care, convenience and service for patients everywhere in their work. Make the majority of health personnel firmly establish the concept of serving the people wholeheartedly and establish a good moral image and professional image. In accordance with the "patriotic law-abiding, unity and friendship, diligence and self-reliance, dedication and dedication" of the 12-character civic ethics, we will take effective measures to set off the climax of learning, publicity and education activities. Let every patient feel at home in our hospital and feel the civilized wind of modern hospitals.

Second, improve and implement various medical technologies:

Faced with this situation, our hospital has a weak foundation and its clinical work is relatively late. The leading group does not pay attention to the basics, strictly controls the quality, comprehensively ensures that the construction of business departments meets the national or provincial basic standards, and strictly implements the operating norms of various diagnosis and treatment technologies to ensure the safety and effectiveness of medical technology. In view of the current situation of antibiotic abuse, the leading group of medical quality management did not follow suit, but strictly regulated the use of antibiotics, controlled hospital infection and tried to reduce complications.

Three, make full use of existing equipment, purchase the necessary medical equipment, and comprehensively improve the level of diagnosis and treatment:

Make full use of existing equipment to avoid waste of resources. In order to continuously improve the medical level of our hospital and meet the clinical medical needs, at the beginning of the year, the leading group of our hospital raised funds of 1 10,000 yuan based on high starting point, high standards and strict requirements, and purchased medical equipment such as semi-automatic biochemical analyzer, anesthesia ventilator, urine analyzer and vertical autoclave. Maintain the existing equipment in time to ensure the normal operation of the equipment, standardized operation, safe and reliable inspection and treatment effects, and accurate and reliable measuring instruments.

Four, establish and improve the rules and regulations, strictly implement the operating procedures:

Implementing standardized management is the key to improving service quality, and we have been clinging to it. First of all, improve the system and strengthen the responsibility. Conscientiously implement the dean's rounds system and the chief executive's duty system. The medical technology department strengthens the system of collective film review, clinical patient follow-up and laboratory indoor quality control. Clinical departments should strengthen the responsibility system of first-time doctors, resident hours, three-level rounds, consultation system, preoperative discussion system, difficult case discussion system and death case discussion system. At the same time, it is necessary to conscientiously implement the regulations on grading management of surgery, strictly grasp the indications of surgery, and strictly control the intraoperative operation and postoperative observation. Gynecological and obstetric operations were completed in the first half of the year, and no accidents occurred. The improvement of medical quality has also brought good economic and social benefits, and the clinical business income has increased compared with the same period last year.

Five, to ensure the quality of drugs, reagents and medical materials, to ensure the safe and effective treatment of patients:

Ensure the quality, safety and reliability of drugs, reagents and medical materials, meet the requirements of clinical use, strictly implement the Interim Regulations on the Administration of Pharmaceutical Affairs in Medical Institutions, and improve the monitoring of adverse drug reactions. Strengthen the management of toxic drugs for medical use, X-ray drugs, radioactive drugs and anesthetic X-rays according to law. In addition, a drug and material procurement management committee was established, and centralized bidding was adopted, thus eliminating unhealthy practices in procurement from the source.

Six, improve the hospitalization environment, to provide patients with good medical conditions:

According to the requirements put forward by the medical management leading group, the humanistic spirit is reflected everywhere, and everything is for the convenience of patients. At the beginning of this year, our hospital made an overall plan for the hospital environment, and invested 1 10,000 yuan to transform the ward, treatment room and the hospital environment, making the hospital environment elegant and clean, and providing patients with a convenient, high-quality, warm and comfortable environment for diagnosis, treatment and rehabilitation.

Self-inspection report on medical quality management 2 According to the requirements of the Measures for Drug Supervision and Management in Medical Institutions (Trial), our hospital conducted a self-inspection on drug quality management in the hospital in 20xx, and now the results of the self-inspection are reported as follows:

First, leaders attach importance to improving management organizations.

Hospital leaders attach great importance to the drug management in our hospital, and set up a hospital pharmacy management group and a drug treatment management group, which are responsible for supervising and guiding the drug procurement and approval in our hospital, scientifically managing drugs and rationally using drugs, and the pharmacy department is specifically responsible for drug deployment and drug quality management, with clear post responsibilities and serious implementation.

Two, strengthen management, establish and improve the drug quality management system and pharmaceutical work system.

The hospital has established and improved a number of management systems, such as the classification management system of antibacterial drugs, the work system of pharmacy department, the prescription checking system of pharmacy, the management system of drug procurement, the work system of drug maintenance, and the responsibilities of pharmaceutical personnel. Through the construction of these systems, the hospital has improved the level of drug quality management and pharmaceutical work.

Three, strengthen business knowledge training and learning, improve the professional quality of personnel.

The hospital organizes employees to study business every month, learn pharmaceutical laws and regulations and professional knowledge of pharmacy, conduct relevant examinations and tests, and establish training files, which further improves the professional skills and professional knowledge of employees.

Four, strengthen drug management, pay attention to drug quality.

Strictly implement the management regulations of the superior management department on drug procurement. The drug procurement in our hospital is carried out through the centralized procurement platform of drugs and equipment in Guangxi Zhuang Autonomous Region. The drug procurement catalogue is determined according to the national essential drugs catalogue, the urban medical insurance catalogue, the basic drugs catalogue of the new rural cooperative medical system and the actual clinical use. Approved by the hospital pharmacy management team and drug treatment management team, and approved by the hospital leaders. According to the procurement catalogue, the Pharmacy Department purchased the winning drugs on the centralized procurement platform of pharmaceutical devices in Guangxi Zhuang Autonomous Region. Establish supplier files, strictly examine the qualifications of suppliers and sales personnel, and ensure that they have legal information.

Enterprises purchase qualified drugs. In strict accordance with the management regulations of the superior health management department and drug supervision department, our hospital purchased medical devices from Guangxi Jianyi Pharmaceutical Co., Ltd., a pharmaceutical business enterprise with pharmaceutical business qualifications. The business license, drug business license, GSP certification certificate, the original power of attorney of the salesperson and the copy of the ID card of the drug business enterprise were filed, and the Drug Quality Assurance Contract was signed. According to the Drug Administration Law and relevant drug laws and regulations, combined with the actual situation of our hospital, the relevant drug quality management system is formulated, including drug purchase, acceptance, maintenance system, prescription deployment and prescription management system, recent drug use management system, special drug management system, adverse drug reaction reporting system, etc. The purchased drugs with special management shall be managed according to regulations, specially stocked, equipped with anti-theft and monitoring facilities, and managed by two people and two locks. The special account record is consistent with the account. The purchased drugs have a legal tax receipt and a detailed list of suppliers. The list contains the generic name, manufacturer, batch number, specification, quantity, price and other contents of the drugs, and the purchase acceptance system is implemented. The purchased drugs are accepted by two people, and a true and complete drug acceptance record is established. Drug acceptance records include generic name, manufacturer, specification, dosage form, batch number, expiration date, supplier, quantity, price, purchase date, acceptance date, acceptance conclusion, etc. The procurement and acceptance records of drugs and devices shall be complete, signed by the issuer and recipients, and the records shall be available for investigation. Implement the effective storage management of drugs, and warn the drugs with a validity period of less than 6 months in the management system and report them to various departments for promotion. Drugstores and drug storehouses carry out daily inspection and maintenance of drugs, report the loss of expired drugs and medical devices once a month, go through the formalities of reporting the loss and destruction, make a good record of destruction, and report the loss of expired drugs 1 1 batch all year round. Pharmacy and drug storeroom are equipped with air-conditioning equipment for temperature and humidity control, and refrigerators for storing related drugs, all of which can be stored according to storage requirements.

Five, strengthen the management of pharmacy.

According to the requirements of standardized pharmacy construction, drugs should be placed with obvious regional positioning signs, internal and external drugs should be stored separately, and drugs that are prone to odor should be stored separately. Maintain the displayed drugs every day, monitor the temperature and humidity, and take timely control measures if it exceeds the specified range. Pharmaceutical technicians qualified according to law are responsible for the examination and deployment of prescriptions. Pharmaceutical professionals review, allocate, distribute and guide the safe use of drugs. Strictly implement the system of "four checks and ten pairs" when dispensing prescriptions to ensure the accuracy of prescribing drugs. The prescription shall not be changed without authorization, and the prescription with doubt, incompatibility and overdose shall be refused, and can only be issued after correction or re-signing by the prescriber when necessary. Both the examiner and the distributor signed the prescription. Strictly implement the relevant provisions of prescription management, the prescription is valid on the day of issuance, and the dosage of prescription drugs generally does not exceed 7 days; Emergency prescription is generally not more than 3 days; Special prescriptions should be strictly used for special drugs, and drug prescriptions should be kept for 2 years. Every year, people who are in direct contact with drugs are examined and health records are established. Workers who have direct contact with drugs are not suffering from infectious diseases or other diseases that may contaminate drugs, and are in good health.

Six, conscientiously implement the adverse drug reaction monitoring and reporting system.

In 20xx, our hospital reported 8 cases of adverse drug reactions, with adverse drug reactions 1 case and 50 cases of drug abuse to the drug supervision department.

Self-inspection report on medical quality management 3 Our company was established in 20xx, and obtained the Medical Device Business License in March of 20xx. The company's address is located at No.89 Minzu Avenue, xx City. In order to ensure the better implementation and improvement of the company's medical device business quality management, the self-inspection results are now reported as follows:

1. personnel management: the quality control department of our company is equipped with professional and technical personnel with certificates to conduct regular training on medical laws, regulations and related systems to ensure the smooth progress of the work; Organize company employees to have health check-ups every year and establish health records.

2. Responsibility management: the management system established by our company includes: the responsibilities of quality management institutions or quality management personnel; Quality management regulations; Provisions on procurement, acceptance and acceptance; Provisions on supplier qualification examination; Provisions on storage, storage and transportation management of warehouses; Sales and after-sales service regulations; Provisions on the administration of unqualified medical devices; Provisions on the return and exchange of medical devices; Provisions on monitoring and reporting of medical device adverse events; Regulations on the recall of medical devices; Provisions on maintenance, verification and calibration of facilities and equipment; Provisions on personnel hygiene and health status; Provisions on quality management training and assessment; Provisions on the report on the investigation and handling of medical device quality complaints and accidents; Audit records of the first enterprise/variety; Purchase records; Incoming inspection records; Maintenance and inspection records in the warehouse; Outbound, transportation and sales records; After-sales service records; Records of quality inquiries, complaints and spot checks; Return record; Records related to the disposal of nonconforming products; Monitoring records of warehouse storage conditions (temperature and humidity); Monitoring records of transportation cold chain/heat preservation; The use and verification records of measuring instruments; Quality accident 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 system is complete, reasonable and feasible, and there are corresponding implementation records.

3. Facilities and equipment management: The warehouse is divided into corresponding areas and managed by regions, including areas to be inspected, qualified areas, unqualified areas, delivery areas, and shelves effectively isolated from the ground, so as to be placed in an orderly manner by regions. The warehouse is equipped with anti-rodent and anti-mosquito facilities and thermometers, and the equipment is calibrated every year.

4. Purchase, receipt and acceptance management: Before purchasing goods, the manufacturer's business license, medical device production/operation license, medical device registration certificate or filing certificate and the authorization letter of the sales staff must be checked. When signing a purchase contract with the manufacturer, the name, specifications, registration certificate number or filing certificate number, manufacturer, supplier, quantity, unit price, amount and after-sales service terms of the equipment must be clearly stated. After receiving the equipment, it is necessary to check the contract and attached bills with the arrived equipment, put them in the corresponding area after checking, and then notify the acceptance personnel to put them in the warehouse. Wareholders should check with the arrival equipment according to its name, specification, registration number, batch number, production date, manufacturer, supplier, arrival quantity and arrival date, and make strict records.

5. Warehousing management: Store the instruments according to the storage requirements indicated in the manual or package, and store them by region and classification. Medical devices and non-medical devices shall be stored separately, and articles unrelated to storage management shall not be stored. For unqualified products, put them in unqualified areas, indicate unqualified items, and take disposal measures such as return and destruction. Monitor and record the thermometer in the warehouse every day, and check the appearance and packaging validity of the medical devices in stock. If the equipment is damaged or expired, it should be reported to a special person for unified handling and registered carefully. Products that have expired are prohibited from being sold.

6. Sales and delivery management: Sales records include product name, specification, registration certificate number or filing certificate number, quantity, unit price, amount, production batch number, expiration date, sales date, manufacturer, manufacturer's license number and the name, address and contact information of the hospital. Check the name, specification, registration certificate number or filing certificate number, production batch number, production date and validity period, manufacturer, quantity and delivery date of hospitals and medical devices. Goods with damaged packaging, pollution, weak seal, broken seal, label falling off, illegible handwriting or marked contents inconsistent with the physical objects are prohibited from leaving the warehouse. Follow the principle of "first in, first out" when leaving the warehouse, and keep complete records.

7. After-sales management: After-sales management personnel must respond within 2 hours after receiving the failure notice. If they can't solve the problem by phone, they will arrive at the site for maintenance within 24 hours and pay a return visit to customers regularly. If any device adverse events occur, they will immediately know the location, time, adverse reactions or basic situation of the adverse events, make records and report them to the regional US Food and Drug Administration.

Through this self-examination, our company earnestly studied the law, standardized the operation and use behavior, further improved itself, strengthened the safe use system of medical devices, standardized the operation and use behavior of medical devices, strengthened its own quality management system, enhanced the awareness of knowing the law and abiding by the law, and improved the overall level of the company. In actual work and implementation, there may be some subtle problems that are easily overlooked. I hope the superior leaders will put forward valuable opinions on the work of our company.

Self-inspection report of medical quality management 4 According to the instructions and regulations of the US Food and Drug Administration, and under the organization of the hospital leaders, a centralized and comprehensive inspection of medical instruments and equipment in the hospital was carried out. The specific information is as follows:

First, strengthen management, strengthen responsibility and enhance the sense of quality responsibility.

Equipped with medical device quality management personnel, the staff engaged in medical device quality management have medical device-related professional knowledge, are familiar with relevant laws and regulations, can perform medical device quality management responsibilities, effectively undertake medical device quality management responsibilities in our hospital, guide, supervise and continuously improve the implementation of quality management system, collect laws and regulations related to the use quality of medical devices and product quality information, and implement dynamic management. And establish files, urge relevant departments and post personnel to implement medical device laws and regulations, review the legal qualifications of medical device suppliers and medical device products, be responsible for the acceptance, purchase and maintenance of medical devices, check the quality of medical devices, supervise and handle unqualified medical devices, organize the investigation and handling of medical device quality complaints and quality accidents, organize the monitoring and reporting of medical device adverse events, and establish a use quality management system covering the whole process of quality management.

II. Procurement, acceptance and storage of medical devices.

In order to ensure the quality and use safety of purchased medical devices and prevent unqualified medical devices from entering, our hospital has established the Management System for Purchasing, Acceptance and Storage of Medical Devices, the Bidding and Purchasing System for Large-scale Equipment and the Management System for Medical Device Files, and reorganized the purchasing acceptance records and medical device-related files in our hospital according to the provisions of the Measures for the Supervision and Management of Medical Device Use Quality. And log on to the website of the State Food and Drug Administration to verify the registration number of medical devices, so as to prevent unlicensed purchase, fake certificate purchase, certificate purchase, purchase of imported medical devices without Chinese instructions, Chinese labels and Chinese labels and expired use, and ensure the safe and legal use of medical devices.

Three, the medical device warehouse storage conditions for self-examination.

In order to ensure the quality of medical devices stored in the warehouse, our hospital inspected the material warehouse, laboratory warehouse and warehouses of various departments, including whether the storage temperature, humidity and surrounding environment meet the storage conditions of medical devices in the warehouse. We also organize specialized personnel to do routine maintenance of medical devices.

Four or three types of medical devices self-examination (focusing on implantable medical devices)

Implantable medical devices belong to high-risk medical devices. In order to ensure the safety and effectiveness of people's use of implantable devices, our hospital has specially formulated the procurement management system of implantable medical devices. Strictly stipulate the conditions for purchasing medical devices and the qualifications of suppliers, and strictly review and verify a series of qualifications submitted by implantable medical devices in accordance with the provisions of relevant laws and regulations. Strengthen the information management of implantable medical devices, establish and improve the review system for the procurement, warehousing, warehousing, use and scrapping of implantable medical devices, record product information in detail, and manage all information in patient medical records.

V. Detection and management of medical devices with suspected adverse reactions.

In order to strengthen the management of unqualified medical devices and prevent unqualified medical devices from entering the clinic, our hospital has specially formulated the Medical Device Adverse Event Reporting System. In case of medical device adverse events, the location, time, adverse reactions or basic information of the adverse events should be quickly identified, recorded and reported to the medical device supervision and management department.

Six, the maintenance of medical equipment, maintenance and after-sales service for self-examination.

In order to make the medical equipment in a safe state and meet the technical requirements and standards, our hospital has formulated a medical equipment maintenance and repair system, and made medical equipment maintenance and repair records according to regulations, recording the causes of equipment failures, accessories that need to be replaced and the state after maintenance. Our hospital also made the Inspection Record of First Aid and Life Support Medical Equipment for emergency medical equipment, requiring all departments to do a good job in the inspection of first aid equipment every day to ensure that the equipment is in a standby state.

Seven, the problems existing in the self-examination and the need for improvement.

After this period of self-examination and self-correction, the management of medical devices in our hospital is more standardized, but there are also some problems, such as: expired and unqualified medical devices in the warehouse cannot be destroyed in time, the classification and division of the warehouse are unreasonable, and there is no training and assessment for technicians engaged in medical device maintenance.

Eight, the future focus of medical devices in our hospital.

Effectively strengthen the safety of medical devices in hospitals, put an end to medical device safety incidents, and ensure the safety of patients using medical devices. In the future, we intend to:

1, further increase the publicity of medical device safety knowledge, implement relevant systems, and improve the awareness of hospital medical device safety responsibility.

2. Increase the frequency of daily inspection and supervision on the safety of medical devices in hospitals, timely investigate the potential safety hazards of medical devices, firmly establish the awareness of "safety first", regularly conduct training and assessment for technicians engaged in medical device maintenance and repair, and improve the service level.

3. Continue to actively cooperate with the higher authorities, consolidate the achievements made in hospital medical device safety work, create a good medical device atmosphere, and make greater contributions to building a harmonious society.

The fifth report of medical quality management self-inspection is to implement the quality inspection of drugs and medical devices in our hospital by the flag food and drug administration, ensure the safe and effective use of medical devices by the people, and standardize the management of drug use. The hospital set up a self-inspection team headed by the dean. According to the Notice of Xiwuqi Health Bureau on Strengthening the Safety Management of Drugs and Medical Devices in Medical Institutions at All Levels, the Drug Administration Law, the Quality Management Standard for Drug Use and the Pharmacy Standard, the self-inspection team has done a lot of detailed self-inspection work, and the self-inspection report is as follows:

I. Institutions, personnel and systems:

Our hospital has legal qualifications such as practicing license of medical institutions. A drug quality management organization composed of the director, the head of the pharmaceutical machinery department, the head of the pharmacy, the head of quality and the buyer was established, and the responsibilities of personnel and organizations at all levels were clarified. At the same time, various quality management rules and regulations have been formulated as a guarantee and carefully organized and implemented. At the same time, the Pharmaceutical Affairs Management Committee of our hospital and the supervision and guidance group for clinical rational use of antibacterial drugs have been established and improved.

Our hospital has made a plan for continuing education and training. The training focuses on the Drug Administration Law of People's Republic of China (PRC), Regulations on the Administration of Pharmaceutical Affairs in Medical Institutions, Regulations on the Supervision and Administration of Medical Devices, Guiding Principles for Clinical Application of Antibacterials, Measures for the Administration of Clinical Application of Antibacterials, Measures for the Administration of Prescriptions, Special Remediation Plan for Clinical Application of Antibacterials in Inner Mongolia Autonomous Region in 20xx, and other laws and regulations, the basic theories of national drugs and medical care, and normative documents on strengthening the supervision, management, storage and use of drugs and medical devices. It is necessary to improve the quality of personnel, further standardize all aspects of drugs and medical devices from procurement, acceptance, storage and use, and strictly follow the regulations. Every year, people who are in direct contact with drugs are examined for health, and health records are established to ensure the safety and effectiveness of drug use.

Second, the procurement and acceptance:

Purchased drugs in strict accordance with the centralized drug procurement system formulated by the superior health bureau. Purchasing drugs from enterprises with pharmaceutical production and operation qualifications; The acceptance of incoming drugs shall be carried out in strict accordance with the standard operating procedures, and the quality of purchased drugs and returned drugs after sale shall be accepted batch by batch in strict accordance with the statutory quality standards and contract quality terms.

Three, the implementation of standardized pharmacy management system:

The pharmacies and drug storerooms in Meng Xi of the whole hospital are managed in strict accordance with the standards of standardized pharmacies.

Four, drug storage and maintenance:

The warehouse is divided into drug warehouse and medical device warehouse, and each warehouse is divided into qualified area, pending inspection area and unqualified area. Each area is managed according to the regulations, that is, the qualified area is green, the returned area to be inspected is yellow, and the unqualified area is red. After acceptance, the special warehouse for drugs should be classified and stored in strict accordance with the drug storage and maintenance system, and stored in the corresponding reservoir area according to the drug storage conditions and requirements. Drugs should be piled up in a centralized way according to the batch number and expiration date, and stacked in turn or separately according to the batch number and expiration date. Drugs near the expiration date should fill in the expiration date table every month.

Five, the deployment of drugs:

Pharmacists must prepare drugs with prescriptions issued by registered medical practitioners, and drugs may not be prepared without prescriptions issued by doctors. Drug preparation is strictly in accordance with the requirements of four checks and ten pairs, and distribution follows the principles of "production first, delivery first", "delivery first in the near future" and distribution according to batch number.

Six, adverse reaction monitoring:

Establish an adverse drug reaction monitoring and management team, designate full-time or part-time personnel to be responsible for reporting and monitoring adverse drug reactions, establish and save adverse drug reaction monitoring files, actively collect adverse drug reactions, and report them through the national adverse drug reaction monitoring information network. The contents of the report shall be true, complete and accurate.

Seven, special drugs:

Special management drugs have safe storage measures that meet the requirements, and five special management methods are implemented, such as double locks for two people and matching accounts and materials. The purchased special drugs shall be inspected on arrival, unpacked by two people, and the special acceptance records shall be kept according to the minimum package count. The returned, expired and unqualified special management drugs and wastes recovered according to regulations shall be destroyed under the supervision of the health department, and the destruction records shall meet the requirements.

Eight, problems found in the inspection:

Through the self-inspection team, all aspects of hospital drug use and quality management were self-inspected, including personnel organization, management system, hardware facilities and management records, which basically met the requirements of drug use quality management norms. However, we also found some shortcomings, such as poor sanitary conditions, irregular drug placement, irregular classification, unclear zoning, and insufficient written records in some places involving medical devices. Ordered the relevant personnel of all departments to seriously rectify and implement them in accordance with the system.

Nine, rectification:

On the basis of self-examination and mutual inspection, our hospital rectified the following problems respectively:

1. Formulated the system and labels of confusing drugs, and posted them next to the classified confusing drugs.

2. Formulated the on-the-job education and training system and training plan focusing on ethnic medicine.

3. The system of medical device incoming inspection record has been established.

4. The monitoring system of medical device adverse events was established.

5. Strengthen the maintenance of large medical equipment. Supplementary medical device inspection, maintenance and related records will be implemented for a long time.

6. Strengthen the monitoring of adverse reactions and medical device adverse events.

In actual work and implementation, there may be some subtle problems that are easily overlooked. I hope the superior leaders will put forward valuable opinions on our work. In the future work, we will make persistent efforts to do a better job in pharmaceutical affairs in our hospital and ensure the safety of people's medication.