[Source: Nanning Municipal Health Commission_Commission News] Since the in-depth development of the construction of a clean hospital, in order to thoroughly implement the decisions and arrangements of the superior departments on promoting the construction of a clean hospital, the

[Source: Nanning Municipal Health Commission_Commission News]

Since the in-depth development of the construction of a clean hospital, in order to thoroughly implement the decision-making and deployment of the superior department on promoting the construction of a clean hospital, Nanning Second People's Hospital has focused on the key points. In key links in the field, we must strictly control the "three gates" of drug procurement, promote reasonable, standardized, safe and transparent use of drugs, ensure the "honest practice" of medical staff, and promote the construction of clean hospitals.

strictly controls the mechanism and standardizes the management of reception of visits by pharmaceutical companies and drug dealers. In order to further standardize the management of visits by pharmaceutical companies and drug dealers, prevent and control integrity risks, the "Registration and Recording Reception Management System for Medical Representatives" has been formulated based on actual conditions, and the "three certainties and three certainties" reception standards are implemented for the visits of pharmaceutical representatives , that is, "fixed time, fixed place and fixed person" , there are appointments, procedures and records.” The afternoons of the first and third Thursdays of each month are determined to be "designated reception days for medical representatives". Directors of the Pharmacy Department, Medical Equipment Department, Information Department and related clinical departments and related professionals will work together on site, and the hospital will be supervised by the discipline inspection The office will send someone to supervise the entire process and keep reception records. Since the implementation of the system, a total of 88 registered consumables suppliers and 4 medical representatives have been received, and no complaints or questions have occurred.

Strictly control the limits and strengthen the management of key monitoring and auxiliary drugs. Ranking is based on the amount of drug purchase. The top 100 auxiliary Western medicines and Chinese patent medicines are included in the hospital's key monitoring catalog. The top 10 key monitoring drugs will be subject to a 25% reduction in purchase volume every month, such as 2 consecutive times. Entering the top 10 will reduce the purchase volume of that variety by 50%. Strictly implement the National Health and Medical Commission The first batch of "Key Monitoring and Rational Drug Use Drug Catalog" announced in 2019, suspend the purchase of 16 auxiliary drugs in a timely manner, and the remaining varieties are limited to specialist use. In 2019, the proportion of hospital auxiliary drug procurement amount was 5.74%, which dropped to 0.45% in 2020 and 0.29% in 2021.

strictly controls medication use and strengthens internal control management to reduce the risk of overflow. Implement the "three-level warehouse" management mechanism of the drug central warehouse (level one warehouse), outpatient pharmacy and central pharmacy (level two warehouse), and ward medicine cabinets (third level warehouse), strictly implement the three-level drug management system, and implement hierarchical and hierarchical management. The medicines collected by the department should be carefully managed to prevent the loss of medicines, reduce the risk of overflow, and ensure that the medicines collected by the department are actually used on patients, without cross-exchanging, using too much, or using too little. Strict scientific management of medicines taken after discharge. It is stipulated that ordinary patients should not take more than 2 weeks of medicines after discharge, and patients with chronic diseases should not take more than 1 month of medicines after discharge. Each patient is only allowed to use 1 kind of Chinese patent medicine after consultation with the Department of Traditional Chinese Medicine in the hospital and after discharge. Chinese patent medicines are limited to a 2-week dosage). Penalties will be imposed for illegal discharge of medicines. From January 2022 to now, a total of 47 cases of illegal discharge of medicines have been dealt with.

Li Jianmin, president of the Second People's Hospital of the city, said: "Reasonable and standardized medication use is the bottom line for medical staff to practice medicine honestly. By further improving the medication supervision mechanism, the hospital can better achieve sunny medication, rational medication use, and honest medication, and effectively promote the construction of a clean hospital. "(Dai Qunwei Ruth, Nanning Second People's Hospital)

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