三级综合医院评审中病区药品管理质量持续改进实践分析  

Practice Analysis of Continuous Improvement on Quality Management in the Ward Medicine during Three Grade Comprehensive Hospital Accreditation

作　　者：余志刚[1] 王景 

机构地区：[1]四川省雅安市人民医院,四川雅安625000 [2]四川护理职业学院,四川成都610100

出　　处：《中国药业》2016年第4期99-101,共3页China Pharmaceuticals

摘　　要：目的规范医院病区药品管理,促进病区药品管理质量持续改进,保障患者用药安全。方法结合三级综合医院评审的要求条款,从病区药品目录制订、药品基数管理、药品贮存与养护、高危药品管理、麻醉药品和一类精神药品及急救药品管理等方面实行统一的管理,制订持续改进的方法和流程,并进行分析和效果评价。结果通过药剂科直接干预和护理部的密切配合,规范了病区备用药物管理,提高了病区护理人员管理意识,各病区高危药品、麻醉和一类精神药品、急救药品管理合格率达90%以上,各病区药品管理更加符合等级医院评审中的要求。结论实施制度化、规范化、系统化的管理措施,用于该院病区药品的管理,成效显著。Objective To standardize the management of drugs in the hospital ward /improve the quality of the medicine management in the ward,and ensure the safety of the patients.Methods With the requirements of the Three Grade Comprehensive Hospital Accreditation,the unified management was implemented in the aspects of pharmacy,medicine,pharmacy,medicine storage and maintenance,high risk drugs,narcotic drugs and emergency medicine management.Continuous improvement methods and processes were developed and the effect was analyzed and evaluated.Results Through the direct intervention of the Department of Pharmacy and the close cooperation of the nursing department,the ward alternate medication management was standardized,the management awareness of the ward nurses was improved,and the qualification rate of the high-risk drugs /narcotic and psychotropic drugs /emergency medicine management in the ward reached 90%and above,making the wards more in line with the requirements of the Three Grade Comprehensive Hospital Accreditation.Conclusion The implementation of the institutionalized /Standardized and systematic management in the hospital wards is effective for the management of drugs.

关 键 词：病区 药品管理 质量改进 

分 类 号：R952[医药卫生—药学]