中国药房2018，Vol.29Issue(11)：1449-1452,4.DOI:10.6039/j.issn.1001-0408.2018.11.03
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
Situation and Optimization Recommendation of TCM Decoction Piece Management in 22 Secondary and Tertiary TCM Medical Institutions and Integrated Traditional and Western Medicine Institutions of Shanghai
摘要
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.关键词
医疗机构/中药饮片/药事管理/质量控制Key words
Medical institution/TCM decoction piece/Pharmaceutical administration/Quality control分类
医药卫生引用本文复制引用
王琴,徐德生,刘力..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[J].中国药房,2018,29(11):1449-1452,4.基金项目
Δ基金项目:国家卫生和计划生育委员会临床药学重点专科培育项目(No.ZP0901YX010) （No.ZP0901YX010）
