We will raise the level of rational drug use to meet people's health needs

       Pharmaceutical care in the new era is developing with a new look。Since 2017，The hospital constantly strengthens the construction of discipline system，Effectively provide "patient-centered, clinical needs oriented, rational drug use as the goal" pharmaceutical care，It plays an important role in the whole process of drug selection, procurement, quality management, prescription dispensing and clinical medication，And strengthen the transformation of pharmaceutical scientific research，Fully embodies the professional and technical level of pharmacists，So as to promote the high quality development of pharmaceutical care in the new era。Focusing on the safety and effectiveness of clinical drugs in hospitals of traditional Chinese medicine, systematic pharmaceutical management and pharmaceutical care work have achieved many results。

     First, the routine work of pharmaceutical management is based on the system as the guarantee, talent as the basis, information as the means, and drug safety and supply are effective。First, constantly revise and improve the relevant system of pharmaceutical management and standardize the operation process。Since 2017, the pharmaceutical management system has been revised twice, and 62 pharmaceutical management work systems and processes have been improved, consolidating the management foundation。The second is to focus on the sustainable development of pharmaceutical industry and pay attention to the training of pharmaceutical talents。Compared with 2017, the primary titles of pharmaceutical professional and technical personnel increased by 29, the intermediate titles increased by 26, and the senior titles increased by 2;There are 11 master students and 1 master tutor。The third is to establish the whole process technology of information-based pharmaceutical management and improve the drug use monitoring system。To achieve drug information collection, monitoring and traceability as a whole, covering the whole process of drug procurement, storage, distribution, allocation, use and other monitoring。Equipped with a rational drug use monitoring system, it effectively promotes the intelligent review and management of the whole process of clinical drug use, and the quantity and quality of hospital prescription intervention have been greatly improved, further ensuring drug safety。Fourth, constantly improve the drug supply security system, strengthen quality control, and ensure drug quality and safety。(A) In strict accordance with the rules and regulations of the state and the hospital to implement the drug procurement policy, at present, the hospital has successfully completed the national organization of centralized drug procurement 1-5 batches of tasks, and obtained the balance of retained funds incentive of more than 200,000 yuan。(2) Take the quality of traditional Chinese medicine as the core, make full use of modern science and technology, and constantly improve the technical and service capabilities of the identification, processing, and mixing of traditional Chinese medicine pieces, so as to highlight the advantages and characteristics of traditional Chinese medicine。Compared with 2017, the hospital's drug supply structure has changed significantly, and the business of traditional Chinese medicine decoction pieces has increased significantly。In 2022, as of October, the number of prescriptions for TCM decoction pieces was 2773162, an increase of 22 compared with 2017.86%。(3) The preparation center of the hospital actively carries out individualized Chinese medicine services, excavates and sorts out special Chinese medicine therapies and traditional Chinese medicine processing methods, and promotes their use。The production of the preparation covers 13 dosage forms, 85 varieties, such as water panpan pill, powder, paste, granule, etc., 72 of which are traditional Chinese medicine preparation varieties。In 2021, the hospital invested nearly 50 million yuan to upgrade equipment and facilities, and has now built a modern preparation center integrating scientific research, teaching and production。

     Second, in-depth development of traditional Chinese medicine characteristic clinical pharmacy, discipline system construction has begun to take shape。As the construction unit of the national TCM clinical research base, the cultivation unit of the National TCM Inheritance and Innovation Center, and the member of the cooperation group of the key specialty of TCM clinical pharmacy of the National Central Administration。In the past five years, the discipline of TCM clinical pharmacy in hospitals has developed rapidly, and has become a dominant discipline leading our province and having significant influence in southwest China。With clinical rational drug use as the core, we took the lead in exploring the clinical thinking of TCM clinical pharmacists in rheumatology, dermatology and geriatrics, so as to solve the problem of TCM, especially the combination of Chinese and Western medicines。First, the construction of pharmacy related platforms promotes the pharmaceutical care capacity of hospitals。2017年，Approved TCM clinical pharmacist training base，Rheumatology, dermatology and geriatrics，Currently, 34 TCM clinical pharmacists have been trained in China.The same year，Set up clinical pharmacological research center，Fill the gaps in the field of innovative drug phase I and generic drug BE research in the province，Solve major bottlenecks in the development of cloud pharmaceutical industry;The second is to lead the establishment of the provincial quality control center for TCM decoction pieces in 2018 and guide the establishment of branch centers in 16 states (cities)，Form the quality control network of TCM decoction pieces in the province，It highlights the advantages and characteristics of traditional Chinese medicine。Third, it will be approved as a clinical pharmacy center construction unit in 2022, and the hospital is the only TCM clinical pharmacy construction unit。At the same time, the provincial Health Commission also selected four tertiary hospitals as sub-center units of the hospital。Provincial clinical pharmacy center is based on the principles of "selecting the best and strengthening, integrating disciplines, ensuring quality, and regional coordination", which is evaluated and selected step by step throughout the province, and is the embodiment of the overall strength of clinical pharmacy in medical institutions。

     Third, pay attention to scientific research, deepen the connotation, research and innovation capacity has been significantly enhanced。In the last 5 years，Focus on Chinese medicine, ethnic medicine, clinical pharmacology and special preparations research and development，Host country naturally 3，Provincial-level platform 5，Accumulated financial support of more than 10 million yuan;68 clinical pharmacological studies were conducted，Covering nearly 20 new drug phase I /PK trials，Nearly 50 first copy/first copy, high variant generic drug BE trials，Signed clinical study contract amount 1.3.3 billion yuan;Help 13 Top three hospitals in our province to build/improve drug clinical evaluation system。He has published 38 academic papers, including 31 SCI papers, 7 Chinese core papers, and edited 5 TCM books and textbooks。Won the provincial science and technology progress third prize 1, patent and software copyright certificate 13。

     Fourth, strengthen the dissemination of pharmaceutical science knowledge to help improve the safety and quality of drugs for all。One is to "face to face" with patients to publicize knowledge of rational drug use。Through holding pharmaceutical free diagnosis activities and opening drug consultation Windows, we provide professional drug service and guidance for patients and the masses with the solid professional knowledge of pharmacists。The second is to carry out the "World Patient Safety Day" and "World Antimicrobial Awareness Week" publicity activities every year to enhance public awareness and popularize pharmaceutical knowledge。The third is to make full use of new media means, using wechat public accounts, Tiktok, radio stations and other platforms to carry out popular science health lectures in various forms, with an audience of hundreds of thousands, which not only improves the majority of patients' awareness of safe drug use, but also enhances the professional responsibility and sense of mission of pharmacists, and further reflects the social value of pharmacists。

     With the deepening of the reform of the medical and health system, the mode of hospital pharmacy work is gradually changing from "drug-centered" to "patient-centered" pharmacy service。The hospital will do a good job in ensuring the supply of drugs，On the basis of improving the efficiency of pharmaceutical administration，In the province of clinical Chinese medicine field to play an important role，Accelerate the construction of clinical pharmaceutical care and scientific and technological innovation system in the province with a new organizational model and operating mechanism，Promote the "standardization, standardization, institutionalization, informatization and homogenization" of pharmaceutical care in medical institutions in the province，Improve the level of rational drug use，Meet the health needs of the people。