基于JCI和HIMSS标准的我院高警示药品管理工作实践  

Practice of High-alert Medicine Management in Our Hospital Based on JCI and HIMSS Standard

作　　者：熊伟[1] 李晓霞[1] 张启祥[1] XIONG Wei;LI Xiaoxia;ZHANG Qixiang(Dept.of Pharmacy,Jiande Municipal First People's Hospital,Hangzhou 311600,China)

机构地区：[1]建德市第一人民医院药剂科

出　　处：《中国药房》2019年第20期2866-2870,共5页China Pharmacy

基　　金：杭州市科技发展计划项目（No.20163501Y161）;杭州市卫生计生科技计划项目（No.2017B54）;建德市科技发展计划项目（No.2015ND03)

摘　　要：目的:为提高医院高警示药品管理工作水平提供参考。方法:基于美国医疗机构评审国际联合委员会(JCI)和美国医疗信息与管理系统学会(HIMSS)管理要求,建立我院高警示药品管理模式,包括高警示药品目录制订、标识与储存、医嘱开具、医嘱审核、调剂与使用、用药后监测等重点管理环节,并进行成效分析。结果:我院高警示药品管理措施实施后,药品存放合格率由实施前的29.28%提高到实施后的95.50%,涉及高警示药品的不合理医嘱率由实施前的3.43%下降到实施后的1.99%,实施前后比较差异均有统计学意义(P<0.01);调剂差错由每月35起减少至0,高警示药品相关不良事件从实施前每月18起减少至每月3起,用药安全性明显提高。结论:我院建立了基于JCI和HIMSS标准的高警示药品管理模式,有助于规范高警示药品的管理,降低其使用风险。OBJECTIVE:To provide reference for the management of high-alert medicine.METHODS: Based on the requirements of JCI and HIMSS standards,the mode of high-alert medicine management were established,including formulation of high-alert medicine list,identification and storage,prescribing medical order,reviewing medical order,dispensing and application,post-administration monitoring and other key management links.Then the effectiveness analysis was carried out. RESULTS:After implementing high-alert medicine management measures,the qualification rate of high-alert medicine storage increased from 29.28% to 95.50% and the incidence of irrational medical order involving high-alert medicine decreased from 3.43% to 1.99%,with statistical significance(P<0.01).The errors of dispensing was reduced from 35 to 0 monthly,high-alert medicine-related adverse events reduced from 18 to 3 monthly,and the safety of high-alert medicine was greatly improved. CONCLUSIONS:Through the establishment of high-alert medicine management model based on JCI and HIMSS standards in our hospital,the management of high-alert medicine is standardized,the risk of drug use is reduced.

关 键 词：美国医疗机构评审国际联合委员会 美国医疗信息与管理系统学会 高警示药品 药品管理 

分 类 号：R954[医药卫生—药学]