Role of municipal pharmaceutical quality control center in the rational use of key surveillance drugs

OBJECTIVE The municipal pharmaceutical quality control center initiated the mode of "centralized evaluation of doctors' orders throughout the city". Proton pump inhibitors, traditional Chinese medicine injections and preventive use of hemostatic drugs during perioperative period of surgery were regarded as three major types of monitoring drugs, with the aim of finding out the problems existing in the use of key monitoring drugs and carrying out the monitoring with the help of health administrative departments to promote rational drug use in clinic. METHODS Sixteen tertiary hospitals and municipal hospital in Shaoxing had formulated three kinds of key monitoring drug evaluation standards, carried out centralized evaluation of the cities' medical advice, issued a circular by the health administration department, and incorporated the results of drug use inspection into the performance evaluation of the medical reform. Hospitals had formulated a set of effective drug use management measures based on feedback issues. Intervention measures such as doctor's advice review and summary meeting were held in the center. RESULTS The total unqualified rate of doctors' orders was 27.29% in 2015, 20.63% in 2016, 12.97% in 2017 respectively. Improvement rate of doctors' orders was 52.47%. It showed that abuse exists in all the three kinds of key monitoring drugs, and this model had a significant effect on improving the rational use of drugs in medical institutions in the city. CONCLUSION Through the joint intervention of administration and pharmacists, the rational use rate of the three key types of controlled drugs has been significantly improved. This kind of intervention mode can provide a new way of thinking and method for continuing similar work in the future, and it is worth popularizing in various cities.