OBJECTIVE: To investigate the clinical application status of traditional Chinese medicine（TCM） injections in National Clinical Research Base of Traditional Chinese Medicine

Hebei Provincial Hospital of Traditional Chinese Medicine（hereinafter referred to as “the hospital”）

so as to provide reference for promoting the rational application of TCM injections. METHODS: Hospital information system was used

the inpatient medical records containing TCM injections in the hospital from 2019 to 2021 were randomly selected

100 cases were randomly selected every month

a total of 3 600 cases were selected

and the application of TCM injections of 34 varieties and 41 specifications in the hospital was retrospectively reviewed and analyzed. RESULTS: Among 3 600 inpatient cases

2 406 cases were rational application of TCM injections

with the rational rate of 66.83%. Irrational drug application mainly included TCM injections for promoting blood circulation and removing blood stasis. The main manifestations of irrational drug application were improper indications

off-label course of treatment

improper solvent dose

unwashed tube

improper compatibility of TCM and western medicines

inappropriate route of administration and selection of drugs. CONCLUSIONS: TCM injections are widely used in the hospital

and the phenomenon of irrational drug application is also severe. With reference to the experience of adjuvant drug management

comprehensive intervention measures will be adopted to standardize the clinical application of TCM injections

improve the quality of medical services

and ensure the safety of patients’ medication.