What are the functions of the rational drug use consultation system?

Detailed rules for the supervision and administration of clinical rational drug use 1. General provisions 1. In order to strengthen the management of pharmaceutical affairs in hospitals, promote rational clinical drug use, ensure the safety, economy and effectiveness of people's drug use, avoid and reduce adverse drug reactions and bacterial resistance, and comprehensively improve medical quality, according to the Drug Administration Law, Interim Provisions on Pharmaceutical Affairs Management in Medical Institutions, Guiding Principles for Clinical Application of Antibacterials and Prescription Management Measures. Rational drug use means that in the process of disease prevention and diagnosis, medical personnel choose the right drugs for specific patients, adopt the right dosage and course of treatment, and apply them to the human body at the right time through the right route of administration, so as to achieve the purpose of effective prevention and diagnosis of diseases, and at the same time protect the human body from or less damage related to drug use. Ii. organization and management 1. Clinical rational drug use steering group: under the leadership of the dean, carry out daily work. Team Leader: Deputy Team Leader: Members: 2 persons. Duties and tasks: (1) Put forward the goals and requirements of rational drug use according to the situation of drug use in hospitals and organize their implementation; (2) Regularly carry out rational drug use evaluation, analyze the use of drugs, especially antibacterial drugs, and put forward improvement measures in time for existing problems; (3) Regularly announce the use of antibacterial drugs in hospitals and clinical departments, and put forward empirical drug use plans; (4) to publicize the knowledge of rational drug use to medical staff and strive to improve the level of rational drug use. III. Basic principles of clinical rational drug use 1. In the process of diagnosis and treatment, doctors should formulate a reasonable medication plan according to the indications, pharmacological effects, usage, dosage, contraindications, adverse reactions and precautions listed in the drug instructions. If they go beyond the scope of the drug instructions or change or stop using drugs, they must make an analysis and record it on the medical record. Doctors and nurses should closely observe the curative effect and pay attention to the adverse reactions when implementing the medication plan. According to the necessary indicators and test data, doctors timely modify and improve the original medication plan. Outpatient medication shall not exceed the scope specified in the drug instructions. 2. Doctors shall not arbitrarily expand the indications specified in the drug instructions. If it is really necessary to expand the drug use regulations due to medical innovation, it should be reported to the hospital pharmaceutical affairs management Committee for approval and sign the informed consent form of the patient; When using Chinese herbal pieces and Chinese patent medicines, we should pay attention to the taboo of compatibility and choose medicines reasonably according to the principle of syndrome differentiation and treatment of traditional Chinese medicine. 3. Physicians should formulate medication plans according to the characteristics of drug action and the patient's condition and drug sensitivity. Fully consider dosage, course of treatment, administration time and route, and consider the ratio of drug cost to curative effect. Drugs that can be used but can't be used should not be used resolutely, and high-grade drugs should not be used if low-grade drugs can be used, so as to minimize the unnecessary interference and influence of drugs on body functions, reduce drug costs, and achieve the expected goal with the least amount of drugs. The examination and approval system should be implemented for drugs that are prone to serious drug resistance or serious adverse reactions and are expensive. 4. The pharmacy department should establish a patient-centered pharmacy management model and carry out clinical pharmacy work with rational drug use as the core; Collect information on drug safety and effectiveness in time to provide services for clinical medication. Pharmacists should take the initiative to carry out special drug investigation and medical record drug analysis, and put forward suggestions on rational drug use. 5. Pharmaceutical professional and technical personnel shall review the suitability of prescription drugs in strict accordance with the requirements of the Measures for the Administration of Prescriptions, and shall also review the rationality. If unreasonable drug use is found, the prescribing physician should be informed. If the situation is serious, it should refuse to allocate and register, and report to the rational drug use supervision team regularly.