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JCI与我国医院评审标准中药事管理方面内容的比较及启示
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篇名: JCI与我国医院评审标准中药事管理方面内容的比较及启示
TITLE:
摘要: 目的:为我国医院评审标准中药事管理方面内容的进一步细化与完善提供参考。方法:深入研究和比较《美国医疗机构评审国际联合委员会医院评审标准(第6版)》(简称“《JCI标准(第6版)》”)与我国《三级综合医院评审标准实施细则(2011年版)》(简称“《标准实施细则(2011年版)》”)中涉及药事管理方面内容的异同,分析我国《标准实施细则(2011年版)》的优势及不足,并在此基础上提出建议。结果:《JCI标准(第6版)》涉及药事管理的评审项目、标准及要点的数量分别为8、22、89,《标准实施细则(2011年版)》数量分别为11、39、280。二者的相同点主要体现在药事管理应遵守的相关法律、法规、规章制度及人员要求,药品采购、储备、贮存及召回,药品调剂与制剂,特殊药品管理,处方管理,抗菌药物管理,用药监测及不良反应报告等方面的大部分内容上。《JCI标准(第6版)》特有的规定涉及药物管理系统文档回顾、在夜间或药房关闭时药品的获取、药品目录审查、对比患者入院前用药清单与首次医嘱等方面;《标准实施细则(2011年版)》特有的规定涉及推进国家基本药物制度、临床药师制建设等方面。结论:我国《标准实施细则(2011年版)》在推进国家基本药物制度、临床药师制建设等方面有明确规定,较为符合我国现阶段医疗卫生事业的发展要求,但相比《JCI标准(第6版)》也存在着一些不足,如版本更新速度、患者自带药品的管理、患者身份确认的安全管理、评审标准的可衡量性等。故我国《标准实施细则》在药事管理方面应通过定期更新版本、加强细节管理、增加评审标准的可衡量性、加强对药学部以外部门的药品管理、强化药品的供应管理等措施进一步细化与完善。
ABSTRACT: OBJECTIVE: To provide reference for further refinement and improvement of pharmaceutical administration in hospital accreditation standards in China. METHODS: According to Joint Commission International Accreditation Standards for Hospitals (6th edition) [called “JCI standards (6th edition)” for short] and Implementation Rules of Level 3 General Hospital Accreditation Standards in China (2011 edition) [called “Implementation Rules of Standards (2011 edition)” for short], the similarities and differences of pharmaceutical administration were studied and compared; the advantages and disadvantages of Implementation Rules of Standards (2011 edition) were analyzed to put forward some suggestions on this basis. RESULTS: The number of the items, standards and key points of pharmaceutical administration in JCI standards (6th edition) were 8, 22, 89, respectively. The number of above indexes in Implementation Rules of Standards(2011 edition) were 11, 39, 280, respectively. The similarities mainly reflected in relevant laws, regulations, rules and regulations to be followed in pharmaceutical administration, personnel requirements, drug procurement, reserve, storage and recall, drug dispensing and preparation, special drugs management, prescription management, antibiotics management, drug use monitoring, ADR reporting, etc. The specific regulation of JCI standards (6th edition) involved drug management system documentation review, drug acquisition at night or after pharmacy closed, drug list examination, comparison of drug use list before admission and the first medical order, etc. The specific regulation of Implementation Rules of Standards(2011 edition) involved the promotion of National Essential Medicine System and the construction of clinical pharmacist system. CONCLUSIONS: In China, Implementation Rules of Standards(2011 edition) have clearly defined the National Essential Medicine System and the construction of clinical pharmacist system, and are more in line with the development requirements of medical and health services in China at the present stage; but there are also some deficiencies compared to JCI standards (6th edition), including the revision update, the management of the patient’s own medicine, the safety management of the patient’s identity, measurability of the accreditation standards. Implementation Rules of Standards should be further refined and perfected by updating version regularly, strengthening the management of details, increasing measurability of the accreditation standards, strengthening drug management outside the department of pharmacy, enhancing drug supply management, etc.
期刊: 2017年第28卷第36期
编辑: 杨晴晴,陈红斗,王梦雷,叶露
AUTHORS: YANG Qingqing,CHEN Hongdou,WANG Menglei,YE Lu
关键字: 中国;美国医疗机构评审国际联合委员会;医院评审标准;药事管理;比较;启示
KEYWORDS: China;JCI;Hospital Accreditation Standards;Pharmaceutical administration;Comparison;Enlightenment
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