National Health Commission: Notice of 5 norms including medical institution pharmacy outpatient service norms is released

Notice of the General Office of the National Health Commission on Printing and Distributing 5 Specifications including the Pharmacy Outpatient Service Specifications of Medical Institutions

Notice of the General Office of the National Health Commission on Printing and Distributing 5 Specifications including the Pharmacy Outpatient Service Specifications of Medical Institutions

The health committees of all provinces, autonomous regions, municipalities directly under the Central Government and Xinjiang Production and Construction Corps:

In order to implement the "Opinions on Strengthening the Management of Pharmaceutical Affairs in Medical Institutions and Promoting Rational Use of Drugs" (Guoweiyifa [2020] No.
2), further standardize the development of pharmaceutical services, improve the level of pharmaceutical services, and promote rational use of drugs, our committee has organized and formulated medical 5 norms including institutional pharmacy outpatient service norms (can be downloaded from the medical administration and medical management section of the website of the National Health Commission)
.

It is hereby issued to you, and all localities are requested to comply with it in the process of providing pharmaceutical services

attachment1

Medical institution pharmacy outpatient service specification

Medical institution pharmacy outpatient service specification

In order to regulate the pharmacy outpatient service of medical institutions and guarantee the quality of pharmacy outpatient service, we have formulated laws, regulations and rules in accordance with the "Drug Administration Law of the People's Republic of China", "Medical Institution Management Regulations", "Prescription Management Measures", "Medical Institution Pharmaceutical Affairs Management Regulations" and other laws, regulations and rules.
This specification
.

This specification is applicable to medical institutions above the second level, and other medical institutions shall refer to them for implementation

Outpatient pharmacy service is a medication to assess medical institutions in the outpatient pharmacists to provide patients, drug counseling, drug education, drug programs proposed adjustments and a series of professional pharmacy services
.

1.
Basic requirements

(1) Organization and management
.

The pharmacy outpatient department is integrated into the outpatient department of medical institutions for unified management, and the pharmacy department is responsible for its implementation

(2) Personnel requirements
.

The pharmacy department of a medical institution shall review the conditions of pharmacists engaged in pharmacy outpatient services, and the medical management department of the institution shall conduct record management

1.
Have the qualifications for professional and technical positions of competent pharmacist or above, and have been engaged in clinical pharmacy for 3 years or more;

2.
Qualified for professional and technical positions as deputy chief pharmacist or above, and have been engaged in clinical pharmacy for 2 years or more
.

(3) Software and hardware equipment
.

The pharmacy outpatient clinic shall be managed by the information system of the medical institution, and the pharmacist can inquire about the diagnosis and treatment records of patients, such as diagnosis, inspection and medication, and record relevant information about the pharmacy outpatient clinic

2.
Service Management

(1) Service object
.

The clients of pharmacy outpatient services are mainly patients who have a clear diagnosis and have doubts about medication.

1.
Patients suffering from one or more chronic diseases and receiving multi-system drugs or multi-specialty treatment;

2.
Patients who use multiple drugs at the same time;

3.
Patients who are using specific drugs, specific drugs include: special management drugs, high-alert drugs, glucocorticoids, special dosage forms of drugs, drugs with special drug delivery devices, etc.
;

4.
Special population: the elderly, children, pregnant and lactating women, patients with liver and kidney dysfunction, etc.
;

5.
Patients suspected of having adverse drug reactions;

6.
Patients who need pharmacists to interpret the results of therapeutic drug monitoring (such as blood drug concentration and drug genetic testing);

7.
Other patients who need pharmaceutical care
.

(2) Work content
.

The content of pharmacy outpatient services includes understanding patient information, evaluating patients' medication status, providing medication consultation, conducting medication education, and making medication plan adjustment suggestions

1.
Understanding patient information: through inquiring, consulting patient medical records, etc.
, understanding patient medication-related information, including basic patient information (age, gender, occupation, address, education level, medical insurance, etc.
), health information (personal history, family history, etc.
) Birth history, past history, current medical history, living habits, etc.
), medication information (medicine history, adverse drug reaction history, immunization history, etc.
), demand information (drug treatment, health status, pharmaceutical services, etc.
)
.

2.
Evaluate the patient's medication status: According to the patient's response after medication, it can be evaluated from the aspects of drug treatment indications, effectiveness, safety, economy, compliance, etc.
, and comprehensive analysis based on evidence-based evidence and the specific situation of the patient
.

Focus on the treatment needs of patients, and solve the problems related to individualized medication and other rational medication

3.
Provide medication consultation: answer the medication questions of patients
.

4.
Carry out medication education: take oral, written materials, physical demonstrations, etc.
to provide patients with education and guidance, including the indications, contraindications, usage and dosage, medication time, medication course, precautions, adverse drug reactions, and life>
.
Confirm that the patient or his caregiver understands the relevant content and accept the suggestions made by asking or asking them to repeat
.
For details, please refer to the "Medicine Education Service Standards for Medical Institutions"
.

The proposed regimen adjustment advice: after assessment found unsuitable drug problem patients, pharmacists shall make recommendations to adjust the regimen
.
The recommendations made by the pharmacist serve as a useful reference for clinical medication, and the final medication plan is determined by the physician
.

(3) Communication skills
.
Pharmacists should pay attention to communication skills, pay attention to the communication methods of special patients, such as hearing impaired patients, visually impaired patients, speech impaired patients, etc.
, and communicate with their guardians for minors or persons with involuntary behavior
.

(4) Management of medical documents
.
Pharmacists who provide pharmaceutical outpatient services shall write medical documents, which shall be included in the management of outpatient medical records
.

3.
Quality management and evaluation improvement

(1) Quality management
.
Medical institutions shall incorporate pharmacy clinics into their medical quality management and control system, strictly implement relevant management norms and rules and regulations, and conduct inspections and assessments of pharmacy clinics in a timely manner to ensure medical quality and medical safety
.

(2) Evaluation and improvement
.
According to clinical indicators, humanities indicators, economic indicators, etc.
, medical institutions can regularly summarize the pharmacy outpatient work, propose solutions to problems found, and continuously improve the quality of pharmacy outpatient services
.
The pharmacy department should actively explore suitable pharmacy outpatient service models and promote the sustainable development of pharmacy outpatient services
.
Visiting pharmacists should actively participate in academic exchanges and learning, actively carry out relevant research, and continuously improve their service capabilities
.

Annex 2

Service specification for drug reorganization in medical institutions

Service specification for drug reorganization in medical institutions

In order to standardize drug reorganization services in medical institutions and ensure the quality of drug reorganization work, in accordance with the "Pharmaceutical Administration Law of the People's Republic of China", "Medical Institution Management Regulations", "Prescription Management Measures", "Medical Institution Pharmaceutical Affairs Management Regulations" and other laws, regulations and rules , Formulate this specification
.
This specification applies to all types of medical institutions that provide inpatient medical services
.

Drug reorganization means that pharmacists understand the patient’s medication situation through communication with patients and review relevant information during important links such as admission, transfer or discharge of inpatients, and compare whether all drugs currently being used are reasonable and consistent with the medication orders.
The process of formulating medication plan adjustment recommendations and working with the medical team to make adjustments to inappropriate medications
.

1.
Basic requirements

(1) Organization and management
.
The drug reorganization service shall be implemented and managed by the pharmaceutical department
.
The medical institution shall establish a drug reorganization service work system suitable for the institution
.

(2) Personnel requirements
.
Pharmacists engaged in drug reorganization services in medical institutions shall meet one of the following conditions:

1.
Have the qualifications for professional and technical positions of competent pharmacist or above, and have been engaged in clinical pharmacy for 3 years or more;

2.
Qualified for professional and technical positions as deputy chief pharmacist or above, and have been engaged in clinical pharmacy for 2 years or more
.

2.
Service Management

(1) Service object
.
The service targets of drug reorganization are hospitalized patients, focusing on the following patients:

1.
Patients with chronic diseases who receive simultaneous treatment of multiple systems and multiple specialties, such as patients with chronic kidney disease, hypertension, diabetes, hyperlipidemia, coronary heart disease, and stroke;

2.
Patients who use 5 or more drugs at the same time;

3.
Physician proposes patients who need medication reformation
.

(2) Work content
.
Drug reformation services mainly include the following:

1.
Drug reorganization service for admitted patients: collect information about past medication history, history of medication and food allergies, adverse drug reactions, etc.
, through interviews with patients or their family members, and access to patients' past medical records and prescription information
.
Specifically including currently using drugs, it is closely related to the name of the drug and health care products and disease previously used, the dosage form specifications, usage, dosage, administration time range and reason for discontinuation, compliance and so on
.
The pharmacist compares the difference between the medication the patient is using and the doctor's order based on the diagnosis and the medication information collected
.
If the medication being used is inappropriate or inconsistent with the doctor's order, the pharmacist should propose a medication plan adjustment proposal, communicate with the treating physician, and make adjustments after confirmation by the physician
.

The pharmacist establishes a medication reorganization record form (see attached table) based on the above information, which is confirmed by the patient or his family and signed by the treating physician
.

2.
Drug reorganization service for patients who are transferred or discharged: The pharmacist compares the difference between the drugs being used and the doctor's order according to the doctor's order of the transferred or discharged hospital
.
If the medication being used is inappropriate or inconsistent with the doctor's order, the pharmacist should propose a medication plan adjustment proposal, communicate with the treating physician, and make adjustments after confirmation by the physician
.
The pharmacist establishes a medication reorganization record sheet
.

(3) Focus on key points
.
Drug reorganization services should focus on the following points:

1.
Check the medication indications and contraindications;

2.
Check whether there is repeated medication;

3.
Check whether the usage and dosage are correct;

4.
Pay attention to whether the drug delivery method of the special dosage form/device is appropriate;

5.
Check whether it is necessary to adjust the dosage of the drug, and focus on the drugs that need to be adjusted according to the liver and kidney function;

6.
Pay attention to drugs with potential clinically significant interactions and adverse reactions, and consider whether it is necessary to adjust the drug treatment plan;

7.
Pay attention to drugs with symptomatic relief, and clarify whether such drugs need long-term use;

8.
Pay attention to the medication of special populations, such as the elderly, children, pregnant and lactating women, patients with liver and kidney dysfunction, and patients with mental illness, etc.
, and comprehensively consider the safety, effectiveness, economy, suitability and compliance of the patient's drug treatment sex;

9.
Check whether certain drugs need to be temporarily stopped before the planned special inspection or medical operation.
After the inspection or operation, it is necessary to evaluate whether to continue the use;

10.
Pay attention to whether intravenous drugs and drugs with a clear course of treatment need to be continued
.

(4) Management of medical documents
.
The pharmacist should write a drug reorganization record sheet and include it in the hospitalization medical record management
.

3.
Quality management and evaluation improvement

(1) Quality management
.
Medical institutions should formulate a drug reorganization service quality management system, and regularly perform quality control on drug reorganization services, including checking whether the records are complete, whether the content of the drug reorganization has been checked and approved by a physician, paying attention to whether the content of the drug reorganization is appropriate, and ensuring medical care Quality and medical safety
.

(2) Evaluation and improvement
.
Medical institutions shall regularly summarize the experience of drug reorganization, evaluate the effects of drug reorganization, discover problems in a timely manner, and continuously improve the quality of drug reorganization services
.

Annex 3

Medical institution medication education service specifications

Medical institution medication education service specifications

In order to standardize the medication education services of medical institutions and ensure the quality of medication education, this paper is formulated in accordance with the "Drug Administration Law of the People's Republic of China", "Medical Institution Management Regulations", "Prescription Management Measures", "Medical Institution Pharmacy Management Regulations" and other laws, regulations and rules.
Norms
.
This specification is applicable to all types of medical institutions at all levels
.

Medication education refers to the process by which pharmacists provide patients with reasonable medication guidance and popularize knowledge of rational medication and other pharmaceutical services to improve patient knowledge about medication, improve medication compliance, reduce medication errors, and ensure medical quality and medical safety
.

1.
Basic requirements

(1) Organization and management
.
The medication education service shall be implemented and managed by the pharmaceutical department of the medical institution
.
A medical institution shall establish a medication education service system suitable for the institution
.

(2) Personnel requirements
.
Pharmacists engaged in medication education services in medical institutions shall have professional qualifications of pharmacist and above
.

(3) Software and hardware equipment
.
The medication education environment should be safe, comfortable, and convenient for communication; qualified medical institutions can provide special venues to protect the privacy of patients
.
Medical institutions shall provide electronic equipment capable of searching professional databases, Chinese and English periodicals, and various forms of medication education materials
.

2.
Service Management

(1) Service method
.
Education administration including oral, written, physical presentation, video and audio, education seminars, phone or internet education
.

For patients at the drug delivery window, pharmacists should provide medication explanations in appropriate ways such as language, video and audio, medication precautions labels; when the drug delivery window pharmacists cannot meet the needs of patients, they should guide the patient to a relatively independent and suitable environment for communication Do detailed medication education
.
For inpatients, medication education should be given by oral, written materials, physical demonstrations, video demonstrations, etc.
at the bedside of the patients
.
For community patients, medication education can be carried out by means of centralized education lectures, popular science video education, telephone or Internet
.

(2) Work content
.
The content of medication education can include:

1.
The generic name, trade name or other common names of the drug (or drug device), as well as the classification, use and expected efficacy of the drug;

2.
Drug dosage form, route of administration, dosage, time and course of treatment, and main precautions for medication;

3.
Instructions for the administration of the special dosage form, special device, and special preparation method of the drug;

4.
Symptoms and signs, test indicators and monitoring frequency that should be monitored during medication, explain the possible interference of the drug on the relevant clinical test results and the possible change in the color of excrement;

5.
Common and serious adverse reactions that may occur, preventive measures that can be taken, emergency measures that should be taken after adverse reactions, possible results when medication errors (such as missed medications) occur, and response measures;

6.
Potential drug-drug, drug-food/health products, drug-disease and drug-environment interactions or contraindications;

7.
Appropriate storage conditions for drugs, disposal of expired drugs or discarded devices;

8.
Patient's cognition of drugs and diseases, improve patient compliance;

9.
Guidance on healthy life>

10.
How do patients keep medication records and self-monitoring, and how to contact physicians and pharmacists in time
.

For special populations, such as the elderly, children, pregnant and lactating women, patients with liver and kidney dysfunction, patients with multiple medications, and patients with cognitive, hearing or vision impaired, it should be based on their pathological, physiological characteristics and drug metabolism.
Develop individualized medication education programs to ensure the safety and effectiveness of medications for patients
.

(3) Work steps
.

1.
The steps of medication education for inpatients:

①Introduce yourself to the patient, explain the purpose and estimated time of this education;

②Collect the patient's disease history, medication history, education level and other information, determine the method of medication education based on the preliminary knowledge, and fully consider the patient's special conditions, such as visual impairment, hearing impairment, language barrier, etc.
;

③Assess the patient's understanding and expectations of their own health problems and medications, their ability to use medications correctly, and their compliance with treatment;

④Through inquiries, understand the patient's degree of mastery of the purpose of medication, medication administration, dosage, course of treatment, medication precautions, common adverse reactions, etc.
, and develop individual medication education programs;

⑤According to the actual situation of the patient, take oral, written materials, physical demonstration and other methods for medication education, so that the patient fully understands the importance of drug treatment and the correct use of drugs;

⑥Before the end of medication education, confirm the patient's knowledge of medication use by asking the patient or asking them to repeat, etc.
; if the mastery is not good, the medication education should be carried out again;

⑦Fill in the medication education records truthfully
.

2.
For non-hospital patients' medication education steps, please refer to "Inpatient Medication Education Steps", and simplify appropriately according to the service place and the actual situation of the patients
.

(4) Information records
.
Medical institutions shall establish and traceable medication education records, and record writing shall be objective, standardized and timely
.
The content of medication education records should include: 1.
Basic patient information and medication related information; 2.
Drug information for medication education; 3.
Main medication education content; 4.
Whether the patient understands and accepts the results of medication education; 5.
Pharmacist Sign and mark the time of medication education
.

3.
Quality management and evaluation improvement

(1) Quality management
.
Medical institutions shall continue to strengthen the professional skills training of pharmacists, improve the professional service capabilities of pharmacists, and ensure the quality of medication education services
.

(2) Evaluation and improvement
.
Medical institutions shall regularly summarize the development of the institution’s medication education services, collect opinions and suggestions from patients and medical staff on medication education, analyze work effectiveness and existing problems, and evaluate work effectiveness
.
Formulate targeted improvement measures and supervise their implementation to promote the continuous improvement of medication education services
.

Annex 4

Specifications for Pharmaceutical Care Services in Medical Institutions

Specifications for Pharmaceutical Care Services in Medical Institutions

In order to standardize pharmaceutical care services in medical institutions and ensure the quality of pharmaceutical care services, in accordance with the "Pharmaceutical Administration Law of the People's Republic of China", "Medical Institution Management Regulations", "Prescription Management Measures", "Medical Institution Pharmaceutical Affairs Regulations" and other relevant laws, regulations, rules and regulations, Develop this specification
.
This specification applies to all types of medical institutions that provide inpatient medical services
.

Pharmaceutical care refers to the application of professional knowledge of pharmacy by pharmacists to provide inpatients with direct pharmaceutical services related to drug use in order to improve the safety, effectiveness and economy of drug treatment
.

1.
Basic requirements

(1) Organization and management
.
Pharmaceutical care services shall be implemented and managed by the pharmaceutical department
.
The medical institution shall establish a pharmaceutical guardianship service system suitable for the institution
.

(2) Personnel requirements
.
Pharmacists engaged in pharmaceutical care services in medical institutions shall meet one of the following conditions:

1.
Pharmacists engaged in clinical pharmacy who meet the corresponding requirements of this institution;

2.
Associate chief pharmacist with clinical pharmacy work experience and qualified pharmacist with professional and technical positions above
.

(3) Software and hardware equipment
.
Medical institutions should be equipped with suitable workplaces and hardware and software facilities
.
Software facilities include medical information systems and corresponding permissions for viewing medical orders and medical records, and software for retrieving pharmaceutical information
.

2.
Service Management

(1) Service object
.
The service objects of pharmacy monitoring are hospitalized patients, focusing on the following patients and disease conditions:

1.
Pathophysiological state: there are organ dysfunction, children, the elderly, patients with comorbidities, pregnant and lactating patients;

2.
Disease characteristics: severe infection, hypertensive crisis, acute heart failure, acute myocardial infarction, status asthma, status epilepticus, thyroid crisis, ketoacidosis, coagulation dysfunction, patients with clinical critical value, Patients with chronic heart failure, chronic obstructive pulmonary disease, drug poisoning, etc.
, have a history of drug allergy, upper gastrointestinal bleeding or epilepsy, etc.
;

3.
Medication: Use drugs with a narrow therapeutic window, anti-infective drugs, anti-tumor drugs, immunosuppressants, blood products, etc.
, receive thrombolytic therapy, and patients with underlying diseases are taking medication during the perioperative period, and the blood drug concentration monitoring value is abnormal.
Severe adverse drug reactions occur, combined application of drugs with clear interactions, combined use of 5 or more drugs, receiving intravenous pumping, nasal feeding, or first receiving treatment with special dosage forms of drugs;

4.
Special treatment conditions: patients undergoing hemodialysis, hemofiltration, plasma exchange, extracorporeal membrane oxygenation
.

(2) Work content
.
Inpatient pharmaceutical care services should run through the entire process of patient drug treatment, starting from the confirmation of the patient as the subject of care, to the completion of the treatment goal, transfer to the department, or discharge from the hospital
.
If the patient is transferred to a department, he should be reassessed as a subject of pharmaceutical care after being transferred back to the ward again
.
The main points of carrying out pharmaceutical care services for patients are as follows:

1.
Evaluation of the rationality of the medication plan: including the drug's indications, contraindications, usage and dosage, compatibility and contraindications, interactions, medication course, etc.
; for unreasonable drug treatment plans, the pharmacist should give professional adjustment opinions and timely Give specific suggestions and reference basis to the doctor/nurse
.
For common problems, the pharmacy department should regularly communicate with clinical departments to correct them, and record the communication process and correction effects;

2.
Curative effect monitoring of medication plan: to judge the effect of medication, if the curative effect is not good or ineffective, the pharmacist should assist the doctor to analyze the reason and discuss the re-adjustment of the medication plan;

3.
Adverse drug reaction monitoring: prevention and monitoring of possible adverse drug reactions, timely detection, judgment and disposal;

4.
Monitoring of the drug treatment process: pay attention to the correct implementation of the medication plan, including the safety monitoring of infusion therapy and the medication guidance for the first use of special dosage forms of drugs;

5.
Patient compliance monitoring: monitor the patient's implementation of the treatment plan;

6.
The pharmacist shall interpret the results of drug genetic testing and therapeutic drug monitoring, and implement pharmaceutical monitoring based on the results
.

(3) Document requirements
.
The pharmacist should write a pharmacy monitoring record form
.
Please refer to Attachment 1 for the pharmaceutical care records of newly admitted patients; refer to Attachment 2 for the pharmaceutical care records of patients in the hospital
.
Forms can be designed and prepared according to the disease characteristics, medication conditions and other individual needs of the pharmaceutical care subjects .

3.
Quality management and evaluation improvement

(1) Quality management
.
Medical institutions should organize personnel to conduct quality control and management of pharmaceutical care services on a regular basis, pay attention to whether the content and process of pharmaceutical care are appropriate, and ensure medical quality and medical safety
.

(2) Evaluation and improvement
.
The pharmacy department of medical institutions shall continuously improve the pharmacy care services, regularly review related work, and continuously improve the quality of services
.

Annex 5

Home Pharmacy Service Standards

Home Pharmacy Service Standards

In order to standardize home pharmacy services and ensure the rational use of drugs for patients at home, in accordance with the "Pharmaceutical Administration Law of the People's Republic of China", "Medical Institution Management Regulations", "Prescription Management Measures", "Medical Institution Pharmacy Management Regulations" and other laws, regulations and rules, the formulation of this Norms
.
This specification is applicable to primary medical and health institutions, and other medical institutions shall refer to them for implementation
.

Home pharmacy service refers to pharmacists who provide home-based medicine treatment patients with popularized health knowledge, conduct medication evaluation and medication education, guide the storage and use of medicines, conduct family medicine cabinet management, and improve patient medication compliance and other individualized, full-course, continuous pharmacy Service
.

1.
Basic requirements

(1) Organization and management
.
Home pharmacy services should be included in the management of family doctors' contracted services in this institution, and the content of pharmacy services should be specified in the family doctors' contracted service agreements, and the pharmacy department is responsible for implementation
.

(2) Personnel requirements
.
Pharmacists engaged in home pharmaceutical services in primary medical and health institutions shall be included in the management of the family doctor contracted team, have the qualifications of pharmacists and above for professional and technical positions, and have 2 years or more of pharmaceutical service work experience
.

(3) Software and hardware equipment
.
Primary health care institutions shall be equipped with the necessary hardware and software for the development of home pharmacy services, such as: service equipment, pharmaceutical information software, reference books, and other protective equipment
.
In addition, it can be equipped with medicine distribution boxes, medicine teaching aids, etc.
according to the needs of pharmacy services
.

Primary-level medical and health institutions should use information technology to provide support for the development of home pharmaceutical services, establish home patient medication files, record and summarize medication-related issues, and ensure that the entire process can be traced
.

2.
Service Management

(1) Service object
.
Object home pharmacy services should be contracted team of doctors and family home patients, including patients with chronic diseases, repeated treatment in patients with concomitant medication variety of patients, patients and other special populations
.

(2) Work content
.
The service content includes at least the following aspects:

1.
Evaluate the needs of home patients for medication: the evaluation basis includes the patient’s gender, age, number of diseases, physical condition (including body mass index, consciousness, and ability to swallow drugs), history of allergies, history of adverse drug reactions, and overall The number of visits per year, the number of types of drugs used, medication compliance, whether the drugs used contain drugs that require a special route of administration and/or high-alert drugs, whether there have been major drug adjustments recently, and whether there are too many drugs at home.
expired medication risks
.
The pharmacist shall formulate a pharmaceutical care plan with the patient at home based on the evaluation result
.

2.
Arrangement and preparation of the medication list: For patients who repeatedly visit the clinic and patients with a large number of medications, the pharmacist can assist in the collation and preparation of the medication list
.

3.
Medication consultation: When patients at home have questions about the medications they use, pharmacists should provide medication consultation services
.

4.
Medication education: pharmacists should understand the medication compliance of patients at home, and conduct education on the purpose of medication, usage and dosage, and precautions
.
See "Medication Education Service Standards for Medical Institutions"
.

5.
Tidy up family medicine boxes: pharmacists can guide home patients in need to clean up home medicine boxes, pay attention to the expiration date, properties and storage conditions of home medicines, and provide service guidance for home patients in order to arrange medicines, sort storage, and clean up expired or spoiled medicines and so on
.

6.
Screening of adverse drug reactions: pharmacists inquire and screen common adverse reactions of drugs used by patients at home
.

7.
Drug interaction screening: pharmacists judge whether there is drug interaction by sorting out the drugs used by patients at home
.

8.
Advice on medication regimen adjustment: If a home patient is found to have medication problems during the visit, the pharmacist should communicate with the family doctor in a timely manner, and the family doctor will determine whether the medication regimen needs to be adjusted
.

(3) Information records
.
The pharmacist should record the main service content and fill in the visit form; if the medication plan is adjusted, the final medication plan shall be confirmed and signed by the family doctor.
For details, please refer to the attached table
.
If the pharmacist organizes and prepares the medication list for the patients at home, the original or copy of the medication list should be provided to the patient for reference
.

(4) Etiquette and etiquette
.
On-site services should be reserved in advance, respecting the customs of patients
.

3.
Quality management and evaluation improvement

(1) Quality management
.
Home pharmaceutical services shall be carried out in strict accordance with relevant national laws and regulations, standards and norms, etc.
, in accordance with laws and regulations
.
Primary medical and health institutions shall incorporate home pharmaceutical services into the medical quality management and control system of their institutions, strictly manage their quality, and ensure medical quality and medical safety
.

(2) Evaluation and improvement
.
Primary medical and health institutions shall summarize and evaluate the development of home pharmaceutical services in a timely manner, propose solutions to problems found, and follow up on implementation and continuous improvement
.