基于三级甲等综合医院复评的药事质量与安全监控体系构建

Construction of a pharmaceutical quality and safety monitoring system based on reassessment of grade-A tertiary general hospitals

加强质量与安全监控有利于规范药事管理工作、促进临床合理用药和保障患者用药安全。2022年1月, 某医院以三级甲等综合医院复评为契机, 构建了药事质量与安全监控体系, 通过搭建3层人员组织架构、修订和更新药事相关制度和流程、建立自查-监督-反馈-整改-追溯的监控机制、实施人员交叉-融合督导方式以及开展药剂科和临床科室考核评价, 实现了药事质量与安全监控的全院覆盖, 推动医院药事服务质量持续改进。经过3个月的实践, 医院累计落实320项整改任务, 药品使用差错率从2021年第四季度的0.015‰降至2022年第一季度的0.012‰, 临床科室上报药物不良事件由67例降至33例, 医务人员对药学服务的满意率由99.1%上升至99.5%。该药事质量与安全监控体系的实施取得一定成效, 可为其他医院提升药事管理水平提供参考。

Strengthening quality and safety monitoring is beneficial for standardizing pharmaceutical management,promoting rational clinical medication,and ensuring patient medication safety.In January 2022,a certain hospital took the opportunity of reassessment of grade-A tertiary general hospitals to construct a pharmaceutical quality and safety monitoring system.The hospital took such measures as building a three-layer personnel organizational structure,revising and updating pharmacy related systems and processes,establishing a monitoring mechanism of self inspection-supervision-feedback-rectification-traceability,implementing personnel cross integration supervision,and conducting assessment and evaluation of pharmacy and clinical departments.This monitoring system covered the entire hospital,and promoted continuous improvement of its pharmaceutical service quality.After three months of practice,a total of 320 rectification tasks were implemented,the error rate of drug use decreased from 0.015‰in the fourth quarter of 2021 to 0.012‰in the first quarter of 2022,the number of adverse drug events reported by clinical departments decreased from 67 to 33,and the overall satisfaction rate of medical workers with pharmaceutical services increased from 99.1%to 99.5%.The practice of the pharmaceutical quality and safety monitoring system had achieved certain results,which can provide references for other hospitals to improve the pharmaceutical management level.