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自1985年贯彻实施《药品管理法》及实施《药品生产质量管理规范》以来,为了提高医院自制输液的生产水平及产品质量,省卫生厅先后三次对医院灭菌制剂室验收换发《灭菌制剂许可证》,从而促使我市医院自制输液的生产规模及产品质量都上了一个新台阶。但近期由于部分医疗单位片面追求经济效益,对制剂室的经济指标制定的过高或承包给个人,出现了领导只管指标或一包了之。因此医院自制输液质量出现了明显下降,致使临床出现了一些不良反应。笔者感到有必要就有关问题与同行进行讨论,探讨如何提高医院自制输液质量,确保人民用药安全有效。现将抽验医院自制输液质量结果及平时发现的问题分析如下:
Since 1985, the implementation of the “Drug Administration Law” and the implementation of “quality control of pharmaceutical production” since the hospital to improve the level of self-infusion and product quality, the provincial Health Department has three times on the hospital sterilization preparation room acceptance of “sterilization Preparation permit ”to promote the city hospital self-made infusion of the scale of production and product quality have reached a new level. However, as some medical units have pursued economic benefits one-sidedly in the near future, the economic indicators of the preparation room have been set too high or contracted to individuals. Therefore, the quality of hospital-made infusion has dropped significantly, resulting in some adverse clinical reactions. I feel the need to discuss the issue with their counterparts to explore how to improve the quality of hospital-made infusion to ensure that people are safe and effective drug use. The hospital will now test the quality of the results of infusion and usually found problems are as follows: