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Started 10 years ago by v8nS6Aq3Sd

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Comics: Single people use recurring charges Pharmacy Shenzhen Second People's Hospital. Li Lu Photo ◎ low-cost drugs to potentially fraudulent posing as high-priced drugs, single drug people use duplicate charges ◎ Shenzhen Second People's Hospital anesthesiology been suspended, IESS involved in the investigation Patients admitted to hospital for surgery, anesthesiology charge higher prices to use low-cost drugs but the drugs; can of anesthetics has not been exhausted, but charge more than two cans of hospital costs; a narcotic drug, after opening with three patients in hospital Repeat 3 times actually charge ...... Recently, claiming Shenzhen Second People's Hospital medical staff to anesthesia Nanfang Daily (microblogging) rebellion, said the department malicious potentially fraudulent behavior, and illegal use of narcotic drugs may lead to the patient blood infection. Reporters learned yesterday, someone's anesthesiology Hwang has been suspended duties, Shenzhen IESS is investigating the matter. ◢ Report: "self-exposing scandalous" Out of respect for the patient's life Recently, claiming the medical staff of the hospital anesthesia Ken (a pseudonym) sent to reporters in the report material, the problem is the Second People's Hospital, Department of Anesthesiology includes three aspects: First, the process of anesthesiology in the drug use, agents posing as high-priced drugs at low prices, such as for surgical patients to use narcotic drugs worth 40 yuan, but the price of 80 yuan fee; the second is the development of anesthesiology own bonuses and charges linked to the mechanism, openly encouraged the medical staff more charges, and in aspects of the use of drugs "Quejinshaoliang", a jar of anesthetic finished yet consumed,doudoune moncler femme, the patient has been charged more than the price of two cans; third, anesthesiology to save supplies, will a narcotic drug use in a number of patients, and recurring charges. Ken said that the reason for "self-exposing scandalous," completely out of conscience, but also out of respect for the most basic of the patient's life. After the introduction, according to Ken, he will report the letter sent to the Shenzhen City Social Security, Social Security Bureau on November 11 specially sent to Shenzhen Second Hospital of investigation, and the transfer of the Department of Anesthesiology, from November last year to November this year, a year between narcotics out of storage data. Ken said investigators checked the data set only a few months, it has been found that the number of serious discrepancies drugs out of storage, the amount involved may be close to a million. ◢ Hospital: The hospital suspended the doctor to check someone's fees Yesterday afternoon, the Shenzhen Second People's Hospital, director of the department held an emergency meeting, after this incident and treatment suggestions briefing. According to the Shenzhen Second People's Hospital Choi introduced, the hospital has set up a joint investigation team from the medical department, finance department and other departments thereof. After preliminary investigation, it finds duplicate charges for anesthesiology complaints "partly true." Meanwhile,http://www.guishuinvaca.cn/bbsluntan/forum.php?mod=viewthread&tid=197532, the hospital has been suspected of potentially fraudulent anesthesiology Hwang made suspended from their duties, and request for investigation with the IESS Medicare Department. Choi admitted, anesthesiology there are loopholes in the management and use of drugs, repeated charges does exist. Currently, full-time pharmacists have been arranged to strengthen the management of narcotic drugs. Meanwhile, the hospital has arranged the price department of the hospital's various departments to conduct random drug charges, to prevent a similar situation from happening again. Choi also believes that narcotic drug was the result of re-use, and excessive single agent relationship, irregularities doctor, saving the objective national resource, avoiding waste. Choi said that in order to solve the operational challenges exist appropriate medication, the hospital has also been invited to the drug manufacturer, hope that manufacturers can offer a richer variety of doses of narcotic drugs. Hospital Pharmacy official told reporters that some potions at a valuation can only be considered, even if it is used up it is impossible to say in accordance with the half-sticks, a quarter, a tenth of the money, because No such calculation on the bureau to hospital set pricing system, which is the common practice of the medical profession. ◢ IESS: already retrieved the hospital database for comparison Shenzhen IESS told the Nanfang Daily reporter, after receiving complaints of the afternoon,http://c4mzwth5.seesaa.net, and monitoring IESS Medicare Department official traveled to Shenzhen Second People's Hospital for investigation. Currently, the IESS has called drugs the hospital's database to compare to see whether the informants said, "to low-cost drugs posing as high-priced drugs," "less overcharged" and other potentially fraudulent behavior exists. At present the relevant investigation is still underway, the results will come out promptly informed reporters. ◢ someone Director: Drug reused to save Yesterday afternoon, the Shenzhen Second People's Hospital, exchange meeting with reporters, the reported party anesthesiology Hwang also appeared on the scene. Hwang In an interview with reporters introduced the use of hospital anesthetic process: After we receive the medicine, the doctor issued by nurses, doctors use in patients after a single record in anesthesia, then calculate charges, then by anesthesia record sheet anesthesia bills to monitor the drug situation. Some drug is 30 ml, but some patients need only a few milliliters, in a saving attitude, we will use the remaining doses in other patients in need who can not will it drained in this process How much does involve doses problems. Whether the presence of anesthesiology encourage medical staff more charges? The case of using low-cost drugs, but drugs are expensive charge true? For these issues reporter concerned, Hwang did not make a clear response. � Ken Pianbao hospital reported another argument 1 painless surgery dressing expand earnings According to Ken introduction, clinical anesthesiology largest amount of propofol injection, in a hospital, there are two forms,woolrich outlet italia, one for the Jing'an, one for Diprivan, although both drugs are imported drugs, but Jing is import-packing, Diprivan is a direct import, so the two drugs spread widely. Wherein a concentration of 1% 20ml Jing'an, hospital price is about 40 yuan, while a concentration of 1% 20ml Diprivan, hospital price of 79.89 yuan. Since this year, the department director Hwang to seek illegal gains, social security drill holes, directs the department of medical personnel in the use of anesthesia Jingan obtain Diprivan fee income. Usually a patient anesthesia, propofol use less then two, then a dozen or more, alone,http://store.shopping.yahoo.co.jp/gion/ras-s22b-w.html, on each Medicare patient anesthesia propofol hundred to a few hundred dollars more. Ken said, because the burden of proof is not good inpatient operating room to operating room anesthesia painless outpatient charges as an example of proof. Earlier, Shenzhen Second People's Hospital painless outpatient operating room anesthesia, has been using Diprivan, so each patient on Narcotic Drugs fees are received 79.89 yuan each. From the beginning of March this year, Hwang to expand the illegal income, a direct indication of the operating room will be available to painless to use Diprivan replaced Jing'an, which leads to more spending per patient this should almost double the cost. The hospital responded: According to the Shenzhen Second People's Hospital responsible person, the so-called Jing and Diprivan are imported drugs, an imitation belong, belonging to the original research, which is the reason for the spread of both exist. The responsible person, on the efficacy of two dosage forms,http://sjh.bbs.windplay.cn/forum-53-1.html?mod=spacecp&ac=blog&blogid=, as used by the patient ages are different, the original research of the dosage form suitable for patients over 16 years of age, and imitation for 3-16 year-old patient. Since anesthesiology omissions in drug management, extensive use of drugs at the same price level, resulting in charges during the hospital, and sometimes lower fees in accordance with the use of expensive drugs, sometimes using the low-cost drugs to charge high prices. The official stressed that the use of low-cost high fees only drug situation is a case that should not exist in other departments. Less than two kinds of anesthesia agents overcharged Ken said that as a department director Hwang, own the office staff bonuses and charges directly linked to the end of each month in addition to the medical staff workload statistics department, the fee for each medical staff to patients is also closely linked to their bonus, This is equal to publicly encourage more medical personnel charges. Ken said that the hospital every month for the department of "cake" is so big, much more if conventional charges, others than your income, you are naturally less money than he. Therefore, under the guidance of Hwang, the anesthesiology clinical routine use of narcotic drugs, intravenous anesthetic propofol and remifentanil led inhalation anesthetic sevoflurane led are less serious overcharging case . According to Ken introduced to the inhalation anesthetic sevoflurane, for example, each sevoflurane anesthesia machine dedicated anesthesia vaporizer capacity of 100ml. Usually one hour will follow the patient inhaled sevoflurane 10ml to charge. However, department director of instruction at the hospital if you use 1L / min oxygen flow to the patient oxygen, we must follow the one hour sevoflurane inhalation 15ml fee calculation, which sometimes leads to the sevoflurane vaporizer yet exhausted, but multiple use of this anesthesia machine anesthesia with sevoflurane charges total patient often reached 200ml to 300ml. Therefore,http://www.scs-uda.com, drug charges and the monthly consumption of anesthesiology serious disproportionate toll far greater than the actual consumption of drugs narcotic drugs. The hospital responded: Choi said that as public hospitals, they would get rid of the "drug dependent doctors" stage of development,http://www.justh5.com/read.php?tid=22075&ds=1, and the hospital never have made provision, if a doctor's charges more,moncler outlet italia, his monthly bonuses It will be more. In addition, the hospital's property is income and expenditure, as a general practitioner, it is impossible to make a profit by overcharging. Choi said after the thing happened, and even the hospital also feel very puzzled, how would such a situation. 3 single agent illegal for people to use According to Ken said the director of the department several times in the General Assembly small meeting stressed the need to save costs,nike air max 90, reduce expenses, department colleagues "conscious savings", his first patient did not complete use of intravenous anesthetics,http://www.bibet.com/home.php?mod=spacecp&ac=blog&blogid=, such as propofol, remifentanil Nigeria, brought it to the direct use of the second patient, if the patient has not been finished using a second, or even to a third, fourth patient use. Ken said, propofol, remifentanil these two drugs are generally drawn in the 50ml syringe, the connection pipe connected by intravenous infusion channel, then by infusion pump at a constant speed pumped into the patient. The first surgery patient is most fortunate, because the use is "first-hand" drug. Second or third miserable, little better anesthesiologist will change my veins connecting tube, almost physicians even intravenous connection pipe are too lazy to change, directly and the remaining first patients to use the drug injection next patient. Of course, as the bearer of drug 50ml disposable syringe would never change. Ken said multiple use of single agents, recurring charges,http://www.zeroniroku.net, in addition to increasing health care spending, but in fact, increased the burden on the patient's doctor. Even more serious is that this illegal practice, may result in the spread of hemolysis, infections and various diseases to the patient. The hospital responded: Choi said that repeated drug use, now is a problem many hospitals have had to face, but this thing is still controversial. He said that if a child is to surgery,piumini woolrich, anesthesia 50ml dose may be too large, or even just use 1/10. Doctors from the conservation of resources and avoid waste perspective, to ensure drug safety of the premise, repeated use is also justified. For multiple use of single drug problem may be caused by contaminated blood, the hospital responded that all agents are extracted by needle directly with how much extract, impossible situation because of the emergence of cross-infection to fight narcotics. Share: welcome to comment I want to comment Microblogging Recommended | today's hot microblogging (edit: SN026) 

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