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重磅!黑龙江省三级医院全面停止门诊静脉输液

2016-09-18 江丽波 新浪健康

黑龙江省三级医院全面停止门诊静脉输液10月8日起,除儿童医院和三级医院儿科之外,黑龙江省全面取消三级医院门诊静脉输液!黑龙江省卫计委邢济春副主任刚刚在哈市第一医院召开的“规范抗菌素药物和静脉输液管理现场推进会”上宣布。中秋假期刚过,黑龙江省卫计委就在哈尔滨市第一医院召开与民生健康密切相关的抗菌素药物和输液管理现场推进及经验交流。哈医大一院副院长刘宏宇教授代表全省三级医院发言,哈尔滨市第一医院孟庆刚

黑龙江省三级医院全面停止门诊静脉输液10月8日起,除儿童医院和三级医院儿科之外,黑龙江省全面取消三级医院门诊静脉输液!黑龙江省卫计委邢济春副主任刚刚在哈市第一医院召开的“规范抗菌素药物和静脉输液管理现场推进会”上宣布。

中秋假期刚过,黑龙江省卫计委就在哈尔滨市第一医院召开与民生健康密切相关的抗菌素药物和输液管理现场推进及经验交流。哈医大一院副院长刘宏宇教授代表全省三级医院发言,哈尔滨市第一医院孟庆刚院长进行经验交流。

黑龙江省卫生计生委及省中医药管理局日前联合发出一项《通知》,要求自10月8日起在全省三级医疗机构全面停止门诊静脉输液。此举旨在加强药物临床合理应用,提高全省药物合理使用水平,切实保障广大群众医疗安全。

《通知》明确,全省各地各单位要充分认识加强静脉输液管理的重要意义。不合理使用静脉输液会带来患者医疗风险增加、医疗费用提高、就医时间延长等系列问题,是“看病难”、“看病贵”的重要原因之一。全省各级卫生计生行政部门和各级各类医疗机构要通过规范静脉输液管理,进一步巩固抗菌药物临床应用专项整治活动成果,强化医疗安全监管,提升百姓对医疗服务的满意度,切实减轻群众就医负担。

《通知》要求,全省各三级医院(含综合医院、中医医院、各类专科医院、妇幼保健院等)的各临床科室自今年10月8日起应全面停止门诊病人静脉输液。儿童医院、各医院儿科门诊可保留静脉输液,但应采取切实有效措施,逐步减少直至停止门诊静脉输注抗菌药物。急诊和日间手术患者在严格掌握适应症的情况下可采用静脉输液治疗。保留静脉输液的医疗机构和科室,要遵循世卫组织提倡的“能口服就不注射,能肌肉注射就不静脉注射”的用药原则。

《通知》强调,要加强静脉输液管理和教育。全省各三级医院要配合取消门诊输液要求,迅速调整本单位临床用药管理制度。各三级医院要加大宣传力度,全面组织开展对医务人员的专题培训。除取消门诊输液外,对急诊、住院病人的输液治疗也要加强管理,严格掌握静脉输液使用指征,努力降低不合理使用静脉输液比例,建立静脉输液管理长效工作机制。同时注重有针对性的教育,通过多种途径广泛开展科学规范进行静脉输液的宣传,纠正医患双方的不良用药习惯。

《通知》指出,对静脉输液管理要严格监督检查。各级卫生计生行政部门要保证三级医院停止门诊静脉输液的规定落到实处,负责督促辖区三级医院落实通知要求,并组织开展医疗机构静脉输液管理工作督导检查。省卫生计生委和中医药管理局将不定期抽查各三级医院静脉输液管理情况,如发现违规开展门诊输液的医疗机构将进行全省通报,并纳入对各医院评审评价的目标考核体系,实施一票否决制度。同时省卫生计生委将继续组织对全省各级医疗机构抗菌药物临床应用情况的检查、评价和考核。各医疗机构应将药物临床应用管理工作从阶段性活动逐步转向制度化、规范化,实现药物临床应用能力和管理水平的不断提高,努力为广大群众提供更优质的医疗服务。

哈尔滨市第一医院取消门诊输液的举措走在了全省的前面,领跑全省医疗卫生工作!

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  1. 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createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Thu Oct 13 10:51:14 CST 2016, time=2016-10-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144399, encodeId=20ce144399f5, content=好文章,长见识, beContent=null, objectType=article, channel=null, level=null, likeNumber=118, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Tue Oct 11 15:06:21 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1689440, encodeId=8d0f168944055, content=<a href='/topic/show?id=ad0619e19b0' target=_blank style='color:#2F92EE;'>#三级#</a>, beContent=null, objectType=article, 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    2017-06-14 flysky120

    社会中乱用药的也太多了,最应该抓私人诊所乱用药。

    0

  2. 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    2017-03-27 fusion
  3. 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createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Thu Oct 13 10:51:14 CST 2016, time=2016-10-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144399, encodeId=20ce144399f5, content=好文章,长见识, beContent=null, objectType=article, channel=null, level=null, likeNumber=118, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Tue Oct 11 15:06:21 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1689440, encodeId=8d0f168944055, content=<a href='/topic/show?id=ad0619e19b0' target=_blank style='color:#2F92EE;'>#三级#</a>, beContent=null, objectType=article, 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objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K3j7ibEWPiarwpqibEYqqX9yVibV5uebib0O7hQSOPmqGrb5FfyDbLsLawnz7ShAb5ibtiayWgI5ClMTh5v/0, createdBy=a47c1614293, createdName=童小孩, createdTime=Tue Sep 27 17:22:34 CST 2016, time=2016-09-27, status=1, ipAttribution=)]
  4. 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  5. 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channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19719, encryptionId=ad0619e19b0, topicName=三级)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0eeb28833546, createdName=luckyshitiancai_42705693, createdTime=Tue Jan 31 17:00:00 CST 2017, time=2017-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=140476, encodeId=69e61404e6d6, content=我们江苏已走在前列。, beContent=null, objectType=article, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Wed Oct 05 16:57:34 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=136331, encodeId=f81f136331b6, content=学习了,很受益,谢谢分享,继续关注中!, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K3j7ibEWPiarwpqibEYqqX9yVibV5uebib0O7hQSOPmqGrb5FfyDbLsLawnz7ShAb5ibtiayWgI5ClMTh5v/0, createdBy=a47c1614293, createdName=童小孩, createdTime=Tue Sep 27 17:22:34 CST 2016, time=2016-09-27, status=1, ipAttribution=)]
    2016-10-13 1e0d99ddm02(暂无匿称)

    总结的很好!

    0

  6. 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createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Thu Oct 13 10:51:14 CST 2016, time=2016-10-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=144399, encodeId=20ce144399f5, content=好文章,长见识, beContent=null, objectType=article, channel=null, level=null, likeNumber=118, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Tue Oct 11 15:06:21 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1689440, encodeId=8d0f168944055, content=<a href='/topic/show?id=ad0619e19b0' target=_blank style='color:#2F92EE;'>#三级#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19719, encryptionId=ad0619e19b0, topicName=三级)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0eeb28833546, createdName=luckyshitiancai_42705693, createdTime=Tue Jan 31 17:00:00 CST 2017, time=2017-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=140476, encodeId=69e61404e6d6, content=我们江苏已走在前列。, beContent=null, objectType=article, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Wed Oct 05 16:57:34 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=136331, encodeId=f81f136331b6, content=学习了,很受益,谢谢分享,继续关注中!, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K3j7ibEWPiarwpqibEYqqX9yVibV5uebib0O7hQSOPmqGrb5FfyDbLsLawnz7ShAb5ibtiayWgI5ClMTh5v/0, createdBy=a47c1614293, createdName=童小孩, createdTime=Tue Sep 27 17:22:34 CST 2016, time=2016-09-27, status=1, ipAttribution=)]
    2016-10-13 1e0d99ddm02(暂无匿称)

    分享一下!

    0

  7. 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01:00:00 CST 2017, time=2017-03-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1907953, encodeId=b02b190e9531d, content=<a href='/topic/show?id=2cb3103350e6' target=_blank style='color:#2F92EE;'>#黑龙江#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103350, encryptionId=2cb3103350e6, topicName=黑龙江)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8942242, createdName=jj000001, createdTime=Mon Jun 12 15:00:00 CST 2017, time=2017-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2035011, encodeId=25d920350119c, content=<a href='/topic/show?id=9c11103351c6' target=_blank style='color:#2F92EE;'>#黑龙江省#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103351, encryptionId=9c11103351c6, topicName=黑龙江省)], attachment=null, 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    2016-10-11 1e10c84am36(暂无匿称)

    好文章,长见识

    0

  8. 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  9. 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objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K3j7ibEWPiarwpqibEYqqX9yVibV5uebib0O7hQSOPmqGrb5FfyDbLsLawnz7ShAb5ibtiayWgI5ClMTh5v/0, createdBy=a47c1614293, createdName=童小孩, createdTime=Tue Sep 27 17:22:34 CST 2016, time=2016-09-27, status=1, ipAttribution=)]
    2016-10-05 jyzxjiangqin

    我们江苏已走在前列。

    0

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channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19719, encryptionId=ad0619e19b0, topicName=三级)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0eeb28833546, createdName=luckyshitiancai_42705693, createdTime=Tue Jan 31 17:00:00 CST 2017, time=2017-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=140476, encodeId=69e61404e6d6, content=我们江苏已走在前列。, beContent=null, objectType=article, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Wed Oct 05 16:57:34 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=136331, encodeId=f81f136331b6, content=学习了,很受益,谢谢分享,继续关注中!, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K3j7ibEWPiarwpqibEYqqX9yVibV5uebib0O7hQSOPmqGrb5FfyDbLsLawnz7ShAb5ibtiayWgI5ClMTh5v/0, createdBy=a47c1614293, createdName=童小孩, createdTime=Tue Sep 27 17:22:34 CST 2016, time=2016-09-27, status=1, ipAttribution=)]
    2016-09-27 童小孩

    学习了,很受益,谢谢分享,继续关注中!

    0

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