The translation of the provided text is as follows:
Basic medical institutions' drug quality management and preventive healthcare organizations seized a total of $5074 worth of two expired biological products, which accounted for about L/3 of the purchase amount. In 1996, authorities verified that a medical institution suffered a high loss of drugs amounting to 360,000 yuan, accounting for about 1/4 of the total drug inventory. Zhashui County Ceng Yi Hospital had 29 batches of moldy failed drugs seized, totaling 1455 yuan, or approximately 1/8 of the hospital's total funds.
In 1994-1996, the Bureau examined 153 medical and health institutions and found about 90 units using cosmetics, health products, or daily necessities as medicines. One medical institution used health care products valued at $9000. In January 1997, from a branch of a medical unit, five types of homemade hospital preparations were found, reaching 12,000 yuan. In March, a provincial mine medical institution purchased five types of preparations from a field hospital, valued at $u million yuan.
**Analysis of Pharmaceutical Quality Management Issues:**
2.1 The drug quality management mechanism is not sound. Survey results indicate that district medical and health units have not established specific drug quality management mechanisms. Full-time management personnel are not equipped. Members of the pharmaceutical committee or pharmacy leadership team are part-time, making it difficult to perfectly manage drug quality services. Pharmacy (pharmacy) staff often hold multiple responsibilities concurrently, unable to effectively carry out drug quality management.
2.2 Low pharmaceutical quality. District medical and health institutions severely lack pharmacy technicians. Among the county-level and above healthcare institutions (61 in total), there is a shortage of pharmacy personnel below 100, with only L/3; 28 social medical institutions have only 2 pharmacy technicians; 57 central hospitals have a total of 14 pharmacy technicians; township hospitals' pharmacies are almost entirely replaced by workers with sideline production technology.
2.3 The pharmaceutical quality management system is not perfect. Besides pharmacy staff duties, few medical health units list pharmaceutical quality management systems, and the existing systems are not fully implemented.
2.4 Poor conditions in the pharmacy department. Among the region's 61 counties, over medical prevention and healthcare organizations, the pharmacy (pharmacy) totals 168 refrigerators. Rural primary medical institutions' pharmacy conditions are worse without cold storage facilities. Using old cardboard boxes to store Chinese herbal pieces is quite common.
**Measures to Strengthen Drug Quality Management:**
3.1 Improving ideological understanding. All levels of medical and health institution leaders should abandon the emphasis on medicine over pharmaceuticals misuse, establishing a leading term in the drug quality management target system of job responsibility to ensure the coordinated development of medical institutions and medicament work.
3.2 Sound quality management agencies. Strengthen internal supervision and management functions. At and above the county level, medical institutions should set up a drug quality management division (room). Equipped with full-time staff and necessary testing equipment, township health centers and clinics (rooms) should establish part-time administrators, assuming the responsibility for drug quality management.
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