ABSTRACT
Objective To establish a real-time monitoring system for hospital special drugs based on internet of things. Methods According to the regulations of special drug administration, combining with the internet of things technology, realtime management of drugs in terms of purchasing, receiving, using and reporting loss recovery were realized. Results After the special drug management system was used, intelligent management of drug use, inventory supervision, application management and prescription audit was realized. Conclusion Establishnment of special medical institutions and drug dynamic supervision information platform and system can realize the whole process of the traceability management, not only improving the work efficiency, also improving the drug safety and management level.
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Objective To investigate the establishment,operation and performance of external quality assessment(EQA) system for microbial morphology and detection of special drug-resistance in clinical laboratory,and explore the value of the developed system in clinical application.Methods The pictures of known bacteria and fungi colony,gram staining and acid-fast staining from clinical microbiology were distributed to the participating laboratories in Gansu province twice a year at regular intervals.The pictures of standard knowledge points from CLSI,such as special drug resistance were distributed simultaneously.All the participating laboratories were required to complete the interpretation for the pictures and report their resuhs in a scheduled time.Then the resuhs were summarized and analyzed as 3 modes:complete consistency,general consistency and non-consistency.Results During the 2 years when the EQA system for microbial morphology and detection of special drug-resistance were performed for 24 times,the rate of annual complete consistency increased year by year and reached to 91.3％ in 2015.Conclusion The EQA system based on the examinations of microbial morphology and CLSI standard knowledge points for clinical laboratory may supervise the staff of clinical microbiology laboratories in the hospitals at second grade or above to master the skills of morphological identification and learn CLSI knowledge points,so their professional skills of clinical microbiology could be comprehensively improved.
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OBJECTIVE:To provide reference for the scientific ratio,rational application and standardized management of nar-cotic drugs and class Ⅰ psychoactive drugs(special drugs)in our hospital. METHODS:The clinical application of special drugs in our hospital from 2009 to 2013 was analyzed based on its consumption sum,DDDs,sorting and sorting ratio. RESULTS:The pro-portions of the consumption sum of special drugs in the total sum of essential medicines in from 2009 to 2013 were respectively 66.16%,67.60%,27.81%,12.11% and 6.87%,and it significantly reduced from 2011. The essential medicines’kinds in special drugs with top 10 consumption sum from 2009 to 2013 were respectively 9,8,7,6 and 5;the DDDs were respectively 9,9,8,6 and 6,consumption sum and DDDs gradually reduced,and mostly after sorting by. The sorting ratio of Sufentanil citrate injection and Transdermal fentanyl was less than 1 for several years,the sorting ratio of Morphine hydrochloride sustained-release tablet and Peth-idine hydrochloride injection was more than 1 for several years,and the sorting ratio of Oxycodone hydrochloride sustained-release tablet in 2013 changed from less than 1 to more than 1. CONCLUSIONS:The consumption sum and dosage of non-essential medi-cines in special drugs in our hospital from 2009 to 2013 gradually increased,and the essential medicines gradually reduced. The main reason is the current included kinds in the essential drug list is less so that it can not fully meet the clinical needs. It is suggest-ed that the relevant departments appropriately increase the varieties to meet the demand in the revision of essential medicine list;and hospitals take necessary measures to control the application proportion of the non-essential medicines to improve the application rate of essential medicines.