Hebei: Doctors should open the correct and standardized prescription according to the patient's condition

The Hebei Provincial Provincial Administration of Health and Health Committee issued a notice to further strengthen the safety management of medication

Physicians should be prescribed correctly according to the patient's condition

Physicians should prescribe the correct, standardized, and suitable prescription according to the patient's condition; medical institutions should regularly comment on prescription doctors in accordance with a certain proportion ... A few days ago, the Hebei Provincial Health and Health Commission and the Provincial Administration of Traditional Chinese Medicine issued notice to further strengthen the safety management of medication. , Improve the level of reasonable medication.

All prescriptions and medication doctors can be charged after passing the audit and distribution

The notice requires that the implementation of the safety system should be strengthened. Medical institutions should improve and implement the system of medication safety related systems, improve the consciousness and ability of medical care and other personnel, and standardize the full process management of prescriptions, deployment, administration, and medication. The pharmacist must earnestly fulfill the prescription review duties, and all prescriptions and medication doctors can be charged, arranged, and distributed after passing the review; nurses such as the doctor's advice and other medical personnel must strictly implement the "three checks and seven pairs" to ensure the time, the way to give the administration, the pathway, the pathway, and The dosage is accurate.

Strengthen the management of key drugs. Medical institutions should establish high -warning drugs and easy to confuse drug management systems. For high -warning drugs and multiple specifications, seemingly, and easy -to -listen to confusing drugs in the institution, they are stored and set up warning signs. Comprehensive measures should be taken to control the use of antibacterial drugs with antibacterial drugs and the intensity of antibacterial drugs in hospitalized patients in a reasonable range. Timely adjust the hierarchical management catalog of key monitoring drugs and the clinical application of antibacterial drugs, and strengthen the management of key monitoring drugs, anti -microbiological drugs, anti -tumor drugs, proton pump inhibitors, glucocorticoids, poisonous spermic drugs, and traditional Chinese medicine injection.

Guarantee the safety of drugs for key groups. Medical institutions should establish a system of medication for elderly patients, take hierarchical management measures for elderly patients at different levels of risk levels, strengthen medication and reminders, and avoid wrong medicines. When selecting children's medication, it may not be limited by the "one product, two regulations" and the total number of pharmaceutical varieties, increase the scope of medication and promote precise medication.

Drugs with many adverse reactions and outstanding safety hazards shall be cleared out of the institutional supply directory in accordance with the law and regulations in accordance with the laws and regulations.

Medical institutions should make monitoring reports in accordance with relevant regulations, and clarify that specialized personnel actively collect adverse reactions of drugs, report the corresponding information to the relevant departments in a timely manner in accordance with the principle of "suspicious reports" to improve the number and quality of the report. Establishing and preserving the adverse reactions reports and monitoring files, drugs with many adverse reactions and outstanding safety hazards shall be promptly exited in accordance with the law and regulations. At the same time, we must carefully statistically analyze the report and monitoring data of drug adverse reactions, propose targeted improvement goals, and take effective measures to reduce and prevent repeated occurrence of drugs from adverse drug reactions.

Research and judge the risk of medication in a timely manner and feedback clinical. Medical institutions should pay close attention to the monitoring information of adverse reactions released by relevant national and provincial departments, industry academic associations, and authoritative academic journals. Adverse reactions to evaluate drug safety. The analysis and evaluation situation is promptly fed back to the clinic in time, and the role of warning reminders is given full play, and the formation of adverse reactions is derived from a virtuous cycle of clinical and serving clinical.

Strengthen the supervision and management of standardized behavior of physician practice

Medical institutions should strengthen the supervision and management of the standardization of physician practice behavior, and regularly organize the prescription review team to comment on the prescription doctor's order in accordance with a certain proportion. No less than 100 photos; no less than 1%of the ward (district) doctor's order (according to the number of medical records in the hospital), and the absolute number of medical records for the hospitalization of hospitalization is not less than 30. It is necessary to carefully analyze the problems existing in points, find specific reasons, put forward suggestions for quality improvement, study and formulate targeted improvement measures, and implement them one by one.

Health and health administrative departments at all levels (including the competent Chinese medicine authority) shall make full use of the evaluation results of reasonable medication assessment, quality control target management, prescription rational spot check and other evaluation results, and use them as medical institutions and medical staff performance assessment, hospital review, physician, doctors Important reference for regular assessment, evaluation and evaluation first. Non -public medical institutions such as private hospitals and individual clinics should be treated equally to strengthen business guidance and industry supervision.

Source: Hebei Daily

- END -