目的:了解江西农村基层医疗卫生机构基本药物安全保障措施的实施现状,为保障基层用药安全提供参考.方法:自拟调查表,对江西省93个县(市、区)的乡镇卫生院药房和村诊所药房进行随机抽样调查.结果:乡镇卫生院和村诊所的药品合法配送率均为100.00％,药品养护条件均达到了基本要求,药品安全保障措施均已到位,药房建设的规范(合格)率达到了90％左右.结论:江西省为保障基本药物安全针对基层医疗卫生机构采取了一系列有效措施,效果显著.但还应继续完善监管队伍建设,做好近效期药品管理,实现药品合法配送“无盲区”,提高药房从业人员素质,以保障基层用药安全.%OBJECTIVE: To understand the implementation of essential drug quality and safety security measures in primary medical institution of Jiangxi province, provide reference for safety of drug use in primary institution. METHODS: According to self-designed questionnaires, field investigations were performed by random sampling in pharmacies of primary medical institution and rural clinics in 93 counties (or districts) of Jiangxi province. RESULTS: The drug legal distribution rates of rural hospitals and village clinics were all 100.00% , drug safety security measures had reached the basic requirements. The rates of standard (qualified) medical institution construction had reached 90% when drug safety security measures were in place. CONCLUSION: The essential drug safety of primary medical institutions can be guaranteed by the government of Jiangxi province takes a series of effective measures. It should continue to improve the quality of supervisor and management of drugs which approximate expiry date, realize no-blind-area legal drug distribution and improve the quality of pharmacy staff to gurantee the safety of drug use in the primary institution.
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