标题: Ken Pianbao hospital reported another argument [打印本页] 作者: gh16q2n14c 时间: 2015-2-19 18:24 标题: Ken Pianbao hospital reported another argument
◎ low-cost drugs for potentially fraudulent impersonation expensive drugs, single drug people use duplicate charges
◎ Shenzhen Second People's Hospital 麻醉科主任 been suspended, IESS involved in the investigation
Patients admitted for surgery,chaussures louboutin discount, anesthesiology use low-cost drugs, but to charge high prices for medicine; a jar of anesthetics has not exhausted, but charge more than two cans of hospital expenses; a narcotic drug, after opening with three patients in hospital actually three times repeated charge ...... Recently, some claiming to be the Shenzhen Second People's Hospital Department of Anesthesiology, medical staff said the Nanfang Daily rebellion, the department malicious potentially fraudulent behavior, and illegal use of narcotic drugs may cause infection in the patient's blood. Reporters learned yesterday, someone's 麻醉科主任 Hwang has been suspended duties, Shenzhen IESS is investigating the matter.
� report: "Since exposing scandalous," out of respect for the patient's life
Recently, claiming the medical staff of the hospital anesthesiology Ken (a pseudonym) is described in the report sent to reporters material, the problem of the Second People's Hospital, Department of Anesthesiology includes three aspects: First,louboutin paris, the process of anesthesiology in drug use, posing as high-priced drugs to low-cost drugs, such as for surgical patients using narcotic drugs worth $ 40, but with the price of 80 yuan fee; the second is 麻醉科主任 bonuses and charges linked to enact its own mechanism to publicly encourage more medical personnel charges,woolrich parka, and in the use of drugs "Quejinshaoliang" finished yet consume a can of anesthetic, the patient has been charged more than the price of two cans; third,tiffany outlet, anesthesiology for saving supplies,air max 90 soldes, would a narcotic drug use in a number of patients, and recurring charges.
Ken said that the reason for the "self-exposing scandalous," completely out of conscience, but also out of respect for the most basic of the patient's life. After Ken According to reports, he will be sent complaint letters Shenzhen IESS, IESS on November 11 dedicated staff to Shenzhen Second Hospital of investigation and the transfer of the Department of Anesthesiology, from last November to November this year, a year between narcotic drugs out of storage data. Ken said that the investigation team checked the data only a few months, it has been found that the number of serious discrepancies medicines 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,jordan femme, the Shenzhen Second People's Hospital, director of the department held an emergency meeting after the incident and treatment advice briefing. According to the Shenzhen Second People's Hospital Cai Zhiming introduced, the hospital has set up a joint investigation by the Medical Services, Finance and other multi-sectoral composition. After preliminary investigation, finds duplicate charges for anesthesiology complaints "partly true." Meanwhile, the hospital has been suspected of potentially fraudulent Hwang made 麻醉科主任 suspended processing, and request for investigation with the Department IESS Medicare.
Cai Zhiming frankly, anesthesiology there are loopholes in the management and use of drugs, recurring charges does exist. Currently, full-time pharmacist has 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.
Francis Choi also believes was the result of repeated use of narcotic drug, and of single agents excessive relationship, irregularities doctor, saving the objective of national resources and avoid waste. Francis Choi said, to solve the problem of the proper operation of the presence of drugs, the hospital has also been invited to the drug manufacturers, manufacturers hope to provide a richer variety dose narcotic drugs.
Hospital Pharmacy official told reporters that some potions when a valuation can only be counted, even if it is impossible to say in accordance with half used up support, one-quarter to one-tenth of the money, because No such calculations on the bureau to the hospital setting pricing system, which is the common practice of the medical industry.
� IESS: already retrieved the hospital database for comparison
Shenzhen IESS told Nanfang Daily reporter, received a complaint in the afternoon, and monitoring at IESS Medicare Department official to visit Shenzhen Second People's Hospital for investigation. Currently, the IESS has called drug database to compare hospitals to see if the informants said, "posing as high-priced drugs to low-cost drugs," "less overcharged" and other potentially fraudulent behavior exists. At present the relevant investigation is continuing, the results will come out promptly informed reporters.
� someone Director: Drug reused to save
Yesterday afternoon, the Shenzhen Second People's Hospital of exchange meeting with reporters, the reported party 麻醉科主任 Hwang also appeared on the scene. Hwang told reporters at the hospital introduced the use of anesthesia process: After we receive the drug, issued by a nurse, a physician for use in patients after a single record in the anesthesia,hogan uomo, and then calculate charges, then by anesthesia record single narcotic drug bills to monitor the situation. Some drug is 30 ml, but some patients need only a few milliliters, the spirit of conservation attitude, we will use the remaining doses in other patients in need who can not will it drained in the process indeed involves the problem of how much dose. Whether the presence of anesthesiology medical staff encourage more charges Case of low-cost drugs, but to charge high prices of medicines is true For these issues of concern to reporters, Hwang did not make a clear response.
� Ken Pianbao hospital reported another argument
A painless surgical dressing expand earnings
Ken According to reports, the largest amount of clinical anesthesiology propofol injection in the hospital, there are two forms, one for the Jing'an, one for Diprivan, although both drugs are imported drugs, but Jingan for import-packing, Diprivan for direct import,hogan outlet milano, so the two drugs big difference. Among them, a concentration of 1% 20ml Jing'an, hospital price of around $ 40, while a concentration of 1% 20ml Diprivan, hospital price 79.89 yuan. Since the beginning of 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 received Jing'an obtain Diprivan costs. Usually a patient anesthesia, propofol use less then two, then a dozen or more, alone, 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, operating room anesthesia painless outpatient charges as an example of proof. Previously, when the Shenzhen Second People's Hospital painless outpatient operating room anesthesia, has been using Diprivan, so each patient on Narcotic Drugs fees are charging 79.89 yuan each. From the beginning of March this year, Hwang to expand the illegal income, direct instructions will be provided to the operating room painless to use Diprivan replaced Jing'an, which leads to more spending per patient do this nearly doubled the cost.
The hospital responded: According to the Shenzhen Second People's Hospital of the person in charge, called Jing and Diprivan are imported drugs, a part of imitation,outlet hogan, a part of the original research, which is the reason for the existence of price differences between the two. The responsible person, the efficacy of the two formulations, as patient age was used in different dosage forms suitable for original research in patients over 16 years old, and imitation for 3-16 year-old patient. Because of anesthesiology omissions on drug management,tiffany ciondoli, 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 high-priced drugs, sometimes charge higher prices to use the low-cost drugs. The official stressed that the use of low-cost drugs case of high fees is just one case, should not exist in other departments.
Less than two kinds of anesthesia agents overcharged
Ken said, as Hwang department director and department staff will own 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 related to their bonuses, This is equal to publicly encourage more medical personnel charges. Ken said that the hospital every month to the department's "cake" is so big, much more if the usual fee,hogan milano, you receive more than others, you naturally bonus less than him. Therefore, under the guidance of Hwang, the anesthesiology clinical routine use of narcotic drugs, intravenous anesthetic propofol, remifentanil led inhalation anesthetic sevoflurane headed 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, under the instruction department director of the hospital if you use 1L / min oxygen flow of oxygen to the patient, we must follow the one hour sevoflurane inhalation 15ml to calculate charges, 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, drug charges and monthly consumption of anesthesiology serious disproportionate toll far greater than the actual consumption of drugs narcotic drugs.
The hospital responded: Francis Choi said that as a public hospital, they would have to get rid of the "drug dependent doctors' stage of development, and the hospital had never made provision, if a doctor charges more, his monthly bonuses 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. Cai Zhiming said that after things appear, even the hospital feel very confused, how can such a situation.
3 single branch Pharmacy illegal for people to use
According to Ken said, the department director repeatedly emphasized at the meeting of the General Assembly a small cost savings, reduce costs, department colleagues "conscious savings", the patient did not finish his first use of intravenous anesthetics,outlet hogan italia, 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,woolrich outlet, usually sucked in 50ml syringes, infusion channel connected to the connection pipe through the vein, through the infusion pump at a constant flow rate for 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 even physicians are too lazy to change the vein connecting tube, directly to the first patient to use the remaining drug injection next patient. Of course, as the bearer of drug 50ml disposable syringes would never changed.
Ken said that the repeated use of single agents, recurring charges, in addition to increasing health care costs, 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: Francis Choi said that repeated drug use, it is a question a lot of hospitals have had to face, but this thing is still controversial. He said that if a child is to surgery,sac longchamps soldes, anesthesia 50ml dose may be too large, or even just use 1/10. Doctors from the conservation of resources and avoid waste of perspective,scarpe hogan, in the premise of ensuring drug safety, repeated use is also plausible. 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 extraction, impossible situation because anesthetics appear to play cross-infection.
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