基于JCI标准的医院门诊药房质量监督管理实践

Practice of Quality Control on Outpatient Pharmacy of Hospital Based on JCI Standard

目的探讨基于JCI标准的门诊药房质量监督管理方法,改进门诊药房的工作与服务质量。方法 JCI标准结合等级医院评审标准,建立C-B-A 3级递进式门诊药房质量控制目标和评价指标,并对2015年5月—9月的门诊药房质量监督检查结果进行分析总结。结果按C级评价指标进行检查,16个检查项目中有6项发现问题,分别为1药房环境、药品储存、消防安全;2药品效期管理;3特殊药品管理;4高警讯药品管理;5冷藏药品管理;6流程管理6项,其中前4项的扣分值占总扣分值80%以上。结论将JCI标准的"质量,安全,持续不断的质量改进"的理念应用于药房质量督导工作中,利于持续保证药房质量管理的质量。

OBJECTIVE To discuss the methods of quality control of outpatient pharmacy based on JCI standard in order to improve the work and service quality. METHODS Combined with JCI standard and grade hospital evaluation standard, C-B-A 3 levels progressive objectives and evaluation indicators of quality control were set up, and the results of quality control in outpatient pharmacy from May to September in 2015 were summarized and analyzed. RESULTS Quality control activities were conducted according to evaluation indicator of level C, which including 16 items totally, and 6 items had problems. These 6 items were respectively pharmacy environment, medication storage, fire safety; management of medication expiry date; management of special medication; management of high-risk medication; management of cold-storage medication; process management. And the deduction marks of the front 4 items accounted for more than 80% of the total deduction marks. CONCLUSION Quality, safety and consistent quality improvement, which are the core ideas of JCI standard, can be used into drug quality control activities to continuously ensure the management quality of pharmacy.