上海市22所二、三级中医、中西医结合医疗机构中药饮片管理现状及优化建议
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篇名: 上海市22所二、三级中医、中西医结合医疗机构中药饮片管理现状及优化建议
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摘要: 目的:加强二、三级中医医院、中西医结合医院对中药饮片的质量控制管理,保障患者的用药安全。方法:根据上海市中医质量控制中心制订的《2016年全国医疗机构中药饮片管理专项检查评分表》,采用现场督查的形式,对上海市22所二、三级中医医院、中西医结合医院(分别为14、8所)的中药饮片管理情况,从药事管理、验收贮存养护、调剂、代煎或外加工代煎、处方规范化及处方点评等7个模块逐项进行评分(总分100分)、汇总分析,并提出建议。结果与结论:22所医院平均分为91.97分,评分为优秀(二、三级医院分别为11、5所)与良好者(二、三级医院分别为2、3所)占比为95.45%;各医院在药事管理方面评分结果良好(总分12分,得分11.73分),但多所医院在验收贮存养护、调剂、代煎或外加工代煎、处方规范化及处方点评管理上存在不足。建议严格把控中药饮片采购和验收、加强中药饮片养护和贮存、强化中药饮片批号管理、有效监管中药饮片外加工煎药、提高处方规范性,落实中药饮片处方点评、规范中药饮片处方用名,使中药饮片管理总体质量得到提升。
ABSTRACT: OBJECTIVE: To promote quality control management of TCM decoction piece in secondary and tertiary TCM hospitals, integrated traditional Chinese and western medicine hospitals, and to guarantee the safety of drug use in patients. METHODS: According to 2016 TCM Decoction Piece Management Special Test Score of National Medical Institution made by quality control center of TCM in Shanghai, TCM decoction piece management of 22 secondary and tertiary TCM hospitals, integrated traditional Chinese and western medicine hospitals (14 and 8, respectively) in Shanghai were scored (the total score is 100), summarized and analyzed by on-site inspection from 7 modules, such as pharmaceutical management, acceptance and storage maintenance, dispensing, decocting or outside processing, prescription standardization and prescription review. The suggestions were put forward. RESULTS & CONCLUSIONS: Average score of 22 hospitals was 91.97, and hospitals with excellent (the secondary and tertiary hospitals are 11 and 5, respectively) and good (the secondary and tertiary hospitals are 2 and 3, respectively) score accounted for 95.45%. Those hospitals obtained good score in respect of pharmaceutical management (the total score is 12, scored 11.73). But in many hospitals, there are shortcomings in acceptance and storage maintenance, dispensing, outside processing, prescription standardization and prescription review management. It is suggested to control TCM decoction piece purchase and acceptance, strengthen TCM decoction piece maintenance and storage, enhance TCM decoction piece batch number management, effectively monitor TCM decoction piece outside processing, improve prescription standardization, implement TCM decoction piece prescription comment and standardize prescription name of TCM decoction piece so as to improve total quality of TCM decoction piece management.
期刊: 2018年第29卷第11期
作者: 王琴,徐德生,刘力
AUTHORS: WANG Qin,XU Desheng,LIU Li
关键字: 医疗机构;中药饮片;药事管理;质量控制
KEYWORDS: Medical institution; TCM decoction piece; Pharmaceutical administration; Quality control
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