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Summary of hospital prescription review work

A period of work has come to an end inadvertently. Looking back on this period, our work ability and experience have grown. It is time to carefully write a work summary. In order to make it easier and more convenient for you to write a work summary, the following is a summary of hospital prescription review work that I have collected for everyone. It is for reference only. Let’s take a look. Summary of hospital prescription evaluation work 1

Article 44 of the "Prescription Management Measures" of the Ministry of Health in 20xx stipulates: Medical institutions should establish a prescription evaluation system, fill in the prescription evaluation form, and implement dynamic monitoring and abnormal monitoring of prescriptions. Early warning, registration and notification of unreasonable prescriptions, and timely intervention in irrational drug use. In 20xx, the Ministry of Health issued the "Hospital Prescription Review Management Standards (Trial)". According to the above regulations, our hospital has insisted on conducting prescription reviews once a month since 20xx. The relevant work is now reported as follows:

1. Prescription review work

Our hospital’s prescription review work is under the leadership of the Hospital Pharmacy Management and Pharmacotherapy Committee and the Medical Quality Management Committee. , which is jointly organized and implemented by the Medical Department and the Pharmacy Department. According to the specific actual situation of our hospital, 300 prescriptions from various outpatient departments and 50 inpatient medical records are randomly selected every month, and the "Regulations on Prescription Management", "Measures for the Management of Clinical Application of Antimicrobial Drugs", the Ministry of Health's "Special Rectification Plan for Clinical Application of Antimicrobial Drugs", Based on the "Guiding Principles for Clinical Application of Antimicrobial Drugs", "Chinese Pharmacopoeia Clinical Medication Instructions", "New Materia Medica" and drug instructions, organize clinical, pharmaceutical and administrative experts to conduct regular inspections and evaluations of outpatient prescriptions and fill in the prescription evaluation form , and perform statistical analysis on each content. The content of prescription reviews includes the standardization of prescription writing and the suitability of clinical use of drugs, including drug indications, drug selection, administration routes, usage and dosage, drug interactions, incompatibility, etc. If existing or potential problems are discovered, formulates and Implement intervention and improvement measures to promote the rational application of clinical drugs. The indicators evaluated include the average number of medicines used per visit, the amount of antibacterial drugs used in the visit, the injection dose used in the visit, the proportion of generic names used, the proportion of essential drugs in prescription drugs, and whether there is irrational drug use. Focus on analyzing inappropriate prescriptions and abnormal prescriptions found in the review, and report the review results to the whole hospital.

2. Publicity and education on rational drug use

Our hospital has carried out a lot of publicity and education work. The specific contents include: ① Convening a special working meeting of the leading group for special antibacterial drug remediation and the clinical use of antibacterial drugs Mobilization meeting for all staff for special rectification activities. Hospital leaders and department directors sign a "Responsibility Letter for Rational Clinical Use of Antimicrobial Drugs." ②Use drug information and hospital display screens to promote special antibacterial drug treatment and rational drug use. ③In view of the problems existing in the use of antibacterial drugs, traditional Chinese medicine injections, proton pump inhibitors and vitamin drugs in our hospital, relevant clinical and pharmacy experts and professors from higher-level hospitals are hired to teach in the hospital to solve difficult problems in medication. ④Pharmacists use the drug consultation window to promote basic knowledge about the use of antimicrobial drugs and the dangers of misuse of antimicrobial drugs to patients and their families.

3. Formulate relevant systems and pay attention to their implementation

While conducting publicity and education, our hospital has also done the following work:

① Formulated the "Antibacterial Antibacterial "Special Drug Rectification Activity Plan", a leading group and a special working class were established to focus on education and the principle of equal emphasis on accountability and economic penalties to focus on the outstanding problems and key links in the clinical application of antibacterial drugs.

② Control the number of antibacterial drug varieties to no more than 35, and strictly implement the regulations of "one product, two regulations".

③ The relevant system for controlling the proportion of drugs has been formulated, stipulating that the hospital’s Pharmacy Management and Drug Therapeutics Committee is responsible for the supervision and management of rational drug use in the whole hospital, and an expert supervision group for rational drug use is established to be responsible for the rational use of drugs in the whole hospital. Daily supervision and inspection work. The director of each clinical department is the first person responsible for the rational use of drugs in the department. He is specifically responsible for supervising and managing the rational use of drugs and large prescriptions in the undergraduate department, and timely correcting problems existing in the clinical use of drugs in the department.

④The top three drugs in terms of usage amount will be suspended for one month.

⑤ Implement a drug proportion disclosure system and a prescription comment disclosure system, report the top 10 doctors in the department’s drug proportion and monthly drug proportion in the hospital, and admonish doctors who use unreasonable medications. If the circumstances are serious, they will be subject to financial penalties and suspension of prescription qualifications; departments and individuals whose drug proportion exceeds the standard will be subject to financial penalties. Based on the prescription review results, our hospital conducted admonishment talks and suspended prescriptions for one month to many doctors who were found to be unreasonable in their medication use.

Through the implementation of prescription evaluation work, the clinical use of drugs in our hospital has become more reasonable, and the irregular use of drugs and writing of irregular prescriptions have been significantly reduced; the clinical application management indicators of antibacterial drugs have basically reached the regulations of the superior health administration department, and the drug The proportion dropped from 47% before prescription reviews to less than 40%. I believe that as the level of hospital informatization construction improves and the application of rational medication management software will bring great convenience to the prescription review work, our hospital will pay more attention to it and carry it out in a solid manner. Summary of hospital prescription evaluation work 2

In order to standardize the prescription evaluation work of our hospital, improve the quality of prescriptions, promote rational use of drugs, and ensure medical safety, in accordance with the "Rational Use of Antimicrobial Drugs", "Prescription Management Measures", and "Accurate "Prescription Review Management System of Geer Banner Sino-Mongolian Hospital" and other related systems, our hospital's prescription review working group conducted reviews on random selections of prescriptions throughout the year of xxxx. It aims to standardize prescription management, standardize the rational clinical use of antibacterial drugs, and improve the level of clinical drug treatment in our hospital.

Comment method: Before the 5th of each month, the prescriptions for the 7 days in the previous month are randomly checked for review. 4,846 prescriptions were randomly checked throughout the year, with an average of 403.8 prescriptions per month. The results of the random inspection in xxxx: 77.6% of the prescriptions were reasonable, and the unreasonable prescriptions were mainly irregular prescriptions; on average, each prescription used 2.56 drugs, the drug amount was 47.8 yuan, the usage rate of basic drugs was 57.4%, and the usage rate of generic names was 98.7 %, the usage rate of injections was 22.9%, and the usage rate of antibacterial drugs was 27.8%.

Irregular prescription analysis: Irregular prescriptions include incomplete prescription contents such as fee, department, address, diagnosis, etc., modified prescriptions, medication beyond the treatment course without a doctor’s signature or reasons, and large-amount prescriptions. There was no signed consent from the patient, the unit, address, etc. were omitted, and there were also irregularities in the application of antibacterial drugs in individual prescriptions.

Analysis of irrational drug use: Irrational drug prescriptions include repeated use of drugs, incorrect diagnosis and prescribing of drugs, errors in drug dosage form, specifications, usage, and dosage in individual prescriptions, and occasional overdose, The phenomenon of ultra-concentrated intravenous administration.

Application of antibacterial drugs: Generally speaking, the proportion of antibacterial drug prescriptions in the total number of prescriptions is declining, and the graded use of antibacterial drugs is becoming increasingly standardized, but there are still cases where antibacterial drugs are not selected according to the characteristics of the antibacterial drugs and the types of pathogenic bacteria. The situation exists and needs further improvement.

Suggestions for improvement on existing problems:

1. It is hoped that doctors and pharmacies will strengthen cooperation so that clinical departments will pay more attention to the correct writing of prescriptions and strengthen the treatment of irregular prescriptions. Supervise the writing, and take corresponding measures for unqualified areas according to our hospital's prescription evaluation system;

2. It is recommended that the Information Department set up procedures so that incomplete prescriptions cannot pass, and eliminate incomplete filling of items from the system errors, such as age, usage and dosage;

3. We hope that all clinicians will actively cooperate with the implementation of the hospital system to improve the quality of prescriptions in our hospital, promote rational use of drugs, ensure medical safety, and reduce the occurrence of unqualified prescriptions . Summary of hospital prescription evaluation work 3

1. Prescription evaluation form shows

In January, 100 outpatient prescriptions were randomly checked per day. Each prescription used an average of 2.2 types of medicines, and the injection usage rate was 15.0 %, the usage rate of antibacterial drugs is 32.0% (higher than the 20% indicator stipulated by the Ministry of Health), the usage rate of generic drug names is 100%, the average drug price per prescription is 92.5 yuan, and the qualified prescription rate is 93.0%.

2. Main problems

1. The outpatient prescription exceeds the 7-day dosage without stating the reason;

2. The indications are inappropriate;

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3. Use medication without indications.

Some of the unreasonable prescriptions are as follows:

3. Analysis

This month’s prescription passing rate has increased compared with the previous month. There is no signature of the approved pharmacist and incorrect usage and dosage of the medicine. Issues such as suitability have been significantly improved. However, inappropriate indications and the existence of drug prescriptions without indications are still major problems that need to be solved. In addition, the usage rate of antibacterial drugs is much higher than the 20% stipulated by the Ministry of Health. A spot check of prescriptions found that more oral antibacterial drugs were used this month, and there were more seasonal diseases such as bronchitis. This is the main reason for the increased use of antibacterial drugs.

IV. Improvement measures:

1. Unreasonable prescriptions this month are mainly unindicated medications and inappropriate prescriptions. Multiple patients visit with one medical card or one patient visits multiple departments, and the doctor directly prescribes drugs without modifying the diagnosis. To avoid the occurrence of such prescriptions, doctors should strictly implement the relevant provisions of the "Prescription Management Measures" , the clinical diagnosis must be filled out clearly, completely, and consistent with the medical records; the information system must be improved to eliminate such prescriptions.

2. The network center and other relevant departments will continue to improve the information system to support electronic prescription reviews and special antibacterial drug prescription reviews to avoid subjective errors and make the data more universal and reasonable.