Half antibacterial medicine will be evicted from the tertiary hospital

Half antibacterial medicine will be evicted from the tertiary hospital
The media reports, it is " tightest in the history " that known as Hospital antibacterial for medicine might will begin from July 1 to implement management. According to>Relevant for regulation,that hospitals tertiary is antibacterial will compress to 50 kinds medicine variety, but there are 35 kinds of second hospital. Yesterday, the intersection of personage and know Chengdu most tertiary antibiotic of hospital use kind in 90 to 110 kind about at present in reporter obtain employment, if consult the regulations to carry out, about half of antibiotic will be chased on the door and leave hospital.
Restrict the product rule:
The insider personage claims
50 pieces of assortment antibiotic foot
If look like the antibiotic of hospital that experts revealed and look with current situation, should be " up to standard " Must reduce the kind of medicines greatly. Will so influence medical quality? "The outfit of 50 kinds of antibiotic can basically meet the disease demand, the doctor's choice is still greater. " City three director of hospital dispensary YiXin Huang claim according to relevant to require, meet under the special situation of case, the hospital can put forward the extra application, but can't exceed 5 times within one cycle. Meanwhile, the hospital can adjust the outfit of medicines according to the concrete disease table change.
"The going of antibiotic medicines and staying, need fixing according to most patients' demand. " Director Huang claims, the hospital opposed the fungus medicine catalogue to comb in an all-round way, cleared up and discharged medicines according to the relevant requirement again finally recently.
Large China Western medicine institute of Sichuan
Clear up and discharge 38 kinds of medicines in advance
The intersection of Sichuan and large until clinical 88 kinds of antimicrobial that use comb at present institute, Western medicine of China, have already cut down 38 kinds among them at one blow in mid-June. The medical quality section chief of management department Chen Min of the hospital tells reporters, " out " Main the intersection of basis and antibacterial medicines able to bear nature in whom hospital use, able to bear nature to be better and easy to eliminate from. In addition, the factor that security of medicines, curative effect, cost performance,etc. need considering.
Chen Min says, antimicrobial cleared up and discharged is not defective in quality, and the variety kept will not either have been used all the time. "Clinic and medicine afterwards are able to bear the nature experiment, if what there is a certain antimicrobial is able to bear nature and exceed standard, will be eliminated too. " In addition, Chen Min introduces, in the supervision that uses in antimicrobial, the hospital will oppose the assortment, dosage form, specification, consumption, amount of money, consumption of the fungus medicine and rank carrying on announcement of the top 10 regularly, until patient have the intersection of medicine and rate of utilization more antibacterial, use the intensity, I surgery of notch and get involved to treat the antibacterial medicine to prevent rate of utilization in hospital, clinic antibacterial the intersection of medicine and the intersection of prescription and proportion carry on investigation, and announcement and result that investigate become the next basis that antibacterial medicine adjust.
Restrict the rank:
Have an examination first and then hold the card
The antibacterial medicine is used in grades
It is reported, at present, many doctors with prescription right of hospitals such as large China Western medicine institute of Sichuan, hospital of market three, have already accepted antibiotic to train and have an examination specially.
"Even if pass the examination, does not represent either that can use medicine at will. " Municipal 3 hospitals of quality department Deputy Directors, once clear space of associate professor of treatment recommended calling, this institute has been already foundation>Oppose the hierarchical management system of fungus medicine, divide the medicine into limiting grade, limiting grade and special type.
Among them, ordinary doctor who obtains the prescription right of antibacterial medicine, can only use penicillin, ordinary antibiotic medicines with cheap price, with safe drug effect of very beginning spore a generation of,etc.; The intersection of intermediate and above the intersection of professional title and medical worker, can use heads of the intersection of spore and three generations wait for the intersection of price and on the high side, the intersection of side effect and relatively bigger the intersection of antibiotic and medicines; It is safe can, it is mould and plain through the ages,etc., side effect indeterminate antibiotic medicineses advanceds new, can only be gained access to by the medical worker above the high title.
Restrict consumption:
Prevent antibiotic from abusing
Every department " The quantification "
The once clear space was revealed and claimed, in order to contain abusing, misuse the antibiotic phenomenon effectively, this courtyard of relevant departments have already begun to direct against the detailed conditions of every department, has made using intensity, dosage, people's second-class concrete parameter of the antibiotic medicine, "if there is no special circumstances to take place, basically come according to this. "
According to the relevant requirements of Ministry of Public Health, this institute hopes to pass various renovation, realize the clinic goes to a doctor the patient's antibacterial medicine rate of utilization can't exceed 20%, goal that patient's rate of utilization can't exceed 60% in hospital within three years.
The limit makes a mistake:
How using medicine
Hospital red yellow card is served
"Have special messenger supervise antibiotic is used, orders the red , yellow card, is cancelled the qualification of using medicine directly by the red card. " The once clear space introduced, the hospital quality accused of department and checking and rating the group and opposing the fungus medicine prescription and commenting on regularly composed of relevant experts. Meanwhile, the result will be examined and accord with importantly as department and medical worker performance.
Write out a prescription 3 or more times above average in presenting the antibacterial medicine, and the doctor without reasonable ground will be warned, limit it and use grade and exercise restraint in using the prescription right of one grade of antibacterial medicines specially; After limiting prescription right, still write out a prescription and not have reasonable ground above average 2 or more times continuously, cancel its prescription right of antibacterial medicine. Meanwhile, will also register in the relevant Ministry of Health.
Supervise:
Abuse medicines
Probably revoke the qualification of practising medicine
Yesterday, reporter in charge of the intersection of office and know from municipal medicine 12 city in charge of public hospital antibiotic fully under way was rectified and taken action already at present. The relevant person in charge says, one of this office focal points of work of this year is to supervise and guide the clinic use of antibiotic of hospital, the unreasonable persons who use the antibacterial medicine may even be revoked the qualification of practising medicine.
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