我院住院药房药事质量与安全控制指标的建立与应用

Establishment and Application of Pharmaceutical Quality and Safety Control Indicator on Inpatient Pharmacy of Our Hospital

目的:建立药事质量与安全的控制指标,促进住院药房工作与服务质量的提升。方法:我院药事质量与安全控制小组根据《三级综合医院评审标准实施细则》(2011版)和等级医院评审标准等,建立了我院住院药房药事质量与安全控制指标,通过比较2016年2、5、8、11月的质量检查结果对此指标进行评价与检验。结果:建立的药事质量与安全控制指标共包括药学服务(7项)、药品管理(9项)及其他项目(6项)三方面共22项,指标具有全面、精细和具体化的特点,每项均制订了详细的评分标准并量化赋值(总计100分)。2016年2、5、8、11月总扣分值分别为21.5、8.5、8.5、7分,尤其是账物相符、药品贮存与保管、安全检查等在11月时扣分为0。结论:我院建立的可量化、精细化的、具体化的药事质量与安全控制指标提升了住院药房的药事管理水平,适用于住院药房药事质量与安全的控制。

OBJECTIVE：To establish pharmaceutical quality and safety control index,and to promote the work and service quality of inpatient pharmacy. METHODS：According to Detailed Rules for the Implementation of Evaluation Standards for Three Grade General Hospitals（2011 edition） and grade hospital evaluation standard,quality and safety control group set up the pharmaceutical quality of inpatient pharmacy and safety control indicators in our hospital. The pharmacy and safety control indicators were evaluated and tested by comparing the results of quality test in Feb.,May,Aug.,Nov. of 2016. RESULTS：Pharmaceutical quality and safety control indicators included pharmaceutical care（7 items）,drug management（9 items）and others（6 items）,including 22 items in total. Those indicators were comprehensive,precise and specific. Detailed scoring criteria was formulated for each item and assignment was quantized（100 points in total）. The total deduction scores were 21.5,8.5,8.5,7 respectively in Feb.,May,Aug.,Nov. 2016. Especially,deduction scores of account agree with physical inventory,drug storage and storage,safety inspection were 0 in Nov. 2016. CONCLUSIONS：Established quantifiable,refined and specific pharmaceutical quality and safety control indicators promote pharmaceutical administration of inpatient pharmacy, which is suitable for pharmaceutical quality and safety control of inpatient pharmacy.