中药注射剂遮/避光药品管理的探索与实践

    Exploration and practice of the management of traditional Chinese medicine injections with light-protecting/shading

    • 摘要:
      目的探索提高药剂科中药注射剂避光药品管理水平的方法。
      方法对某医院各中药房和静脉配制中心的中药注射剂进行检查,分析不合格药品分布情况,找出中药注射剂不合格药品占比高的问题类型,解析存在的问题,制订相应的管理制度和措施,并进行复查。
      结果共检出中药注射剂不合格现象37次,其中遮/避光药品未有效避光为主要的不合格原因(25/37,67.57%)。以中药注射剂遮/避光药品未有效避光为本次重点整改对象干预后,复查共检出未有效遮光的不合格中药注射剂1次,中药注射剂拆零未有效避光现象明显下降。并根据医院实际情况,制作尺寸大小适宜和材质合适的遮光盒,申请获批遮光盒外观设计专利(ZL 2015 3 0420142.9)。
      结论结合中药注射剂遮/避光药品的特点和管理中存在的问题,制订了切实可行的管理制度和保障措施,明显提高了药剂科中药注射剂遮/避光药品的管理水平。

       

      Abstract:
      ObjectiveTo explore the ways to improve the management level of traditional Chinese medicine injections with light-protecting/shading.
      MethodsThe Chinese medicine pharmacy injections in dispensary of traditional chinese medicine and intravenous preparation center in a hospital were examined, the distribution of nonconforming drugs were analyzed, the problem types with high proportion of unqualified drugs in TCM injections were identified and analyzed, and the corresponding management system and measures were formulated and reexamined.
      ResultsA total of 37 cases of unqualified TCM injections were detected, and the main reason for the unqualified drugs was that the drugs failed to effectively avoid the light(25/37, 67.57%).One case of unqualified TCM injections without effective shading was detected by review after the intervention measure targeting at effective avoiding the light was implemented, and no effective protection from light in dismantling of traditional Chinese medicine injections significantly decreased.According to the actual situation of hospital, some light-shielding box with appropriate size and material were made, and the design patent of the shading box was applied(ZL 2015 3 0420142.9).
      ConclusionsBased on the characteristics and problems of light-protecting/shading in the management of TCM injections, some practical management systems and safeguard measures are formulated, which significantly improve the management level of light-protecting/shading of Chinese medicine injections.

       

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