国际联合委员会认证对医院静脉用药调配中心药学服务的促进作用

摘要

目的 探讨国际联合委员会(JCI)认证过程对医院静脉用药调配中心(PIVAS)药学服务质量的促进作用.方法 分析比较JCI认证前后黄石市中心医院PIVAS在设施、软件管理、作业流程、安全意识、药品管理、满意度评价、差错发生率等方面的变化.结果 JCI认证过程中,PIVAS药学服务流程得到优化,软件升级,员工安全意识得到提高,高警讯药品管理更加严格,药学服务中的细节问题得到重视,临床对PIVAS的满意度从2013年平均约87.0%逐年上升到2015年的98.0%,差错发生率从2014年的0.40‰下降至2015年的0.15‰,次品发生率从2014年的0.32‰下降到2015年3月0.07‰, 医疗垃圾分类处理正确率由2014年85.5%上升到100.0%,手卫生遵从率和正确率都上升至100.0%,现场管理6S活动的参与率达到100.0%.结论 JCI标准的应用及其认证过程促进了医院PIVAS药学服务质量的提高,并有利于提高医院整体医疗安全.%Objective To explore the role of Joint Commission International(JCI) standards on the improvement of pharmaceutical care in pharmacy intravenous admixture service (PIVAS) during the JCI accreditation.Methods The changes of PIVAS in Huangshi Central Hospital were analyzed and compared during JCI accreditation in respect of facilities,software management,service processes,safety awareness of the PIVAS staff and pharmacy management,service evaluation,error rate,etc.Results After JCI accreditation,the process of PIVAS were optimized,the software were updated ,and the safety awareness of PIVAS staff was improved;the management of high alert drugs was implemented more strictly;more importance was attached to the details of pharmaceutical care;the satisfaction degree of the clinic units to PIVAS was increased from 87.0% in 2014 to 98.0% in 2015;error rate was decreased from 0.40‰ in 2014 to 0.15‰ in 2015.The incidence rate of defective product was decreased from 0.32‰ in 2014 to 0.07‰ in March 2015.The correct rate of medical waste classification treatment was increased from about 85.5% in 2014 to 100.0% in 2015.Hand hygiene compliance rate and correct rate were increased up to 100.0%.6S site management activity participation rate was increased up to 100.0%.Conclusion The application of JCI standards and the process of JCI accreditation improve the quality of pharmaceutical care in hospital PIVAS.It can improve the medical safety in hospital.