Promote the rational use of essential medicines, standardize the prescribing behavior of doctors in county-level public hospitals and township health centers, improve the quality of prescriptions, and ensure medical safety. The following is a self-examination report on hospital prescription reviews compiled by me. Everyone is welcome to refer to it! Self-examination report on hospital prescription reviews:

In order to implement the "Drug Administration Law", "Prescription Management Law" and "Hospital Prescriptions" Review Management Standards (Trial)" and other relevant laws and regulations to standardize prescriptions, improve prescription quality, promote rational medication use, and ensure patient medication safety. We conduct self-examinations on outpatient prescriptions.

Some unreasonable prescriptions were indeed found during the inspection, which are summarized as follows:

1. The prescriptions did not have the signature or seal of the doctor

2. The usage and dosage of the prescriptions Unreasonable

3. Topical drugs and oral drugs are issued on the same prescription at the same time

4. Repeated administration

5. The diagnosis and medication are inconsistent< /p>

In actual work, once we discover unreasonable prescriptions, we will communicate with the doctor as soon as possible and solve the problem in a timely manner to avoid unreasonable prescriptions. We will improve future work, and the improvement measures are as follows:

1. The pharmacy department in the hospital established a prescription review team

2. Regularly summarize unreasonable prescriptions every month and communicate with clinicians

3. Regularly train pharmacy staff

4. Regularly conduct pharmaceutical exchanges with clinicians

In summary, improve the quality of prescriptions and promote rational Medication and ensuring medication safety is a long-term and arduous task, so we should be more serious and diligent in our future work. Self-examination report on hospital prescription evaluation situation 2:

In order to improve the rational medication level of doctors in our city’s community health service centers, standardize doctors’ prescribing behavior, and ensure medical safety. On August 5, 2016, our bureau organized the Yueqing Pharmaceutical Management Quality Control Center to conduct a centralized review of the outpatient prescriptions of the city's community health service centers, and conducted on-site feedback on August 6. The review results are now reported. We hope that all units will pay close attention to the problems found in the reviews, take effective measures, and continuously improve the quality of hospital prescriptions.

1. Overall situation.

This prescription review randomly selected a certain amount of outpatient prescriptions from each community health service center, and conducted reviews based on the "Wenzhou Medical Institutions Review Guidelines for Unreasonable Prescriptions (Trial)". 6,797 prescriptions were reviewed.

2. Main existing problems.

Judging from the evaluation results, the prescription qualification rate of each community health service center has not reached 95%. The following main problems exist:

(1) Writing aspects

< p>　1. Handwritten prescriptions commonly have illegible handwriting, use of drug trade names, and unwritten specifications and dosage forms.

2. The preamble of the prescription is incomplete. The patient's home address and contact number are missing or unknown; the patient's age, especially the age of newborns and infants, is not written in a standardized manner.

3. The preliminary clinical diagnosis is not written in a standardized manner, and the diagnosis is expressed by clinical manifestations or symptoms.

4. The pharmacist only signs the preparation and does not sign the review. If you work alone, you need to double sign to prove that the prescription you prepared has been reviewed again.

(2) Drug use

1. Levofloxacin and other fluoroquinolone drugs are seriously abused. Fluoroquinolones can be used for intestinal infections, community-acquired respiratory infections, and community-acquired urinary tract infections. They are generally not used for infections of other systems other than the digestive and urinary systems and cannot be used as preventive drugs.

2. The frequency or dosage of antibacterial drugs is unreasonable. For example, penicillin injections should be administered multiple times a day; levofloxacin should be 0.2g, administered twice a day, or 0.4g, administered once a day.

3. Use of antibiotics without indications. Antibacterial drugs are used for "sickness", "cold", "cough", "arthritis", "rheumatism", "soft tissue contusion", "mumps", "diarrhea", etc.

4. Skin tests are not done for penicillins oral drugs; skin tests cannot be done with cefazolin for cephalosporin antibiotics, and the original solution should be used.

5. Combined use of drugs is not suitable. The combined use of two antibacterial drugs is generally appropriate, and three antibacterial drugs are generally not used together unless there are special circumstances; the combined use of Chinese patent medicine injections is not recommended in outpatient clinics.

6. The use of large infusions is unreasonable. For example, single-bottle injections of compound amino acids, fat emulsions, etc., and physiological saline as the solvent for traditional Chinese medicine injections.

7. Repeat medication. For example, Tylenol is used in combination with compound acetaminophen, Compound Acetaminophen is used in combination with compound acetaminophen, Compound Methoxyphenamine is used in combination with aminophylline tablets, etc.; some prescriptions use two drugs with the same pharmacological effects. Such as the combination of amlodipine and nifedipine, the combination of bromhexine and ambroxol, etc.

In other aspects, there are also phenomena such as the diagnosis and medication are not consistent; there are more than 5 drugs in a single prescription; the usage and dosage of drugs are inappropriate; the use of three decimal places after the dosage does not meet the writing requirements of the prescription management regulations.

3. Next step work requirements.

(1) Improve awareness of prescription reviews. All units should take this review as an opportunity to establish a prescription review system and carry out prescription review work in strict accordance with the "Regulations on Prescription Management" and "Regulations on the Management of Clinical Application of Antimicrobial Drugs" to effectively improve the quality of prescriptions and promote rational clinical use of drugs.

(2) Enhance the application of prescription review results. All units should carefully analyze and sort out the problems found in the reviews, take effective measures to continuously improve the quality of prescriptions, improve the standardization of prescriptions and the suitability of medication, formulate reward and punishment systems and measures, publicize the review results and incorporate them into daily routines. Under job review.