JCI标准下医院药事信息计算机管理探讨

Study on Computer Management of Hospital Pharmaceutical Information with JCI Standards

目的:提高医院药事信息计算机管理能力,改进药事服务质量。方法:以国际医疗卫生机构认证联合委员会(JCI)标准指导我院药事信息管理工作,在医院信息系统中先后嵌入药品编码定位系统、口服药单剂量调配系统、医嘱自动检测系统、医嘱审核系统,持续进行改进。结果:拦截给药接近差错持续增加,由2008年的405例增至2010年的2036例,且给药差错不断减少,由2008年的49例降至2010年的20例,给药差错发生率由0.1633‰降至0.0584‰;工作效率提高,注射剂和口服药调剂节约用时分别为20～25、25～30min;退药率注射剂由6.65‰下降至3.35‰,口服药由5.86‰下降至1.28‰;患者满意度增加。结论:JCI认证提高了医院药事信息计算机管理水平,对于完善电子病历、推动国家基本药物制度建设和规范药品生产流通都有着积极的意义。

OBJECTIVE： To improve the quality of hospital pharmaceutical information management and pharmaceutical service. METHODS： Guided by the Joint Commission International （JCI） Accreditation Standards, drug coding positioning system, oral unit dose dispensing system, prescription automatic screening system, prescription auditing system were introduced in the hospital information system. Pharmaceutical information service was innovated continuously. RESULTS： The intercepted near medica- tion errors were increased from 405 cases in 2008 to 2 036 cases in 2010. The medication accident declined, from 49 cases in 2008 to 20 cases in 2010. The incidence of medication error dropped from 0.163 3%o to 0.058 4%o. Work efficiency was improved and saved 20 - 25 min and 25 -- 30 min on dispensary of injection and oral drug medicine. The incidence of drug repercussion dropped from 6.65%o to 3.35%o for injection, from 5.86‰ to 1.28‰ for oral drugs. Patient satisfaction was increased. CONCLUSION： The level of hospital pharmaceutical information management has been raised with JCI accreditation. JCI accreditation also has a posi- tive meaning on the perfection of electronic medical records, the construction of national essential drug system and the regulation of drug production and circulation.