[1]韦室百,杨映霞,黄天敏.基于ISMP医院用药安全自我评估标准的质量流程和风险管理的初评应用[J].医学信息,2025,38(02):53-56.[doi:10.3969/j.issn.1006-1959.2025.02.008]
　WEI Shibai,YANG Yingxia,HUANG Tianmin.Preliminary Evaluation of Quality Processes and Risk Management Based on the ISMP Self-assessment Standards for Drug Safety in Hospitals[J].Journal of Medical Information,2025,38(02):53-56.[doi:10.3969/j.issn.1006-1959.2025.02.008]
点击复制

基于ISMP医院用药安全自我评估标准的质量流程和风险管理的初评应用()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年02期
页码:
53-56
栏目:
卫生管理信息学
出版日期:
2025-01-15

文章信息/Info

Title:
Preliminary Evaluation of Quality Processes and Risk Management Based on the ISMP Self-assessment Standards for Drug Safety in Hospitals
文章编号:
1006-1959（2025）02-0053-04
作者:
韦室百; 杨映霞; 黄天敏
广西医科大学第一附属医院药学部，广西 南宁 530021
Author(s):
WEI Shibai;  YANG Yingxia;  HUANG Tianmin
Department of Pharmacy, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi, China
关键词:
ISMP; 医院; 用药安全; 质量流程和风险管理
Keywords:
ISMP;  Hospital;  Drug safety;  Quality processes and risk management
分类号:
R95
DOI:
10.3969/j.issn.1006-1959.2025.02.008
文献标志码:
A
摘要:
目的 通过《ISMP医院用药安全自我评估标准》评估医院用药安全管理情况。方法 组建评估小组13人，选取关键元素X“质量流程和风险管理”中的4个核心指标共63个自我评估项目设计成调查问卷，采用Likert 5级评分进行初步评估关键元素、核心指标、最低和最高得分自我评估项目的均值及均值百分比。结果 关键元素X得分65.71%，核心指标得分范围为60.32%~73.08%，自我评估项目最低得分前3分别为42.31%、50.00%和50.00%，最高得分为90.38%。结论 测评《ISMP医院用药安全自我评估标准》关键元素Ⅹ，可以快速发现医院质量流程和风险管理存在的问题，明确改进方向，提升用药安全管理水平。
Abstract:
Objective To evaluate the situation of drug safety management in hospitals through the ISMP Self-assessment Standard for Drug Safety in hospitals. Methods A 13-member assessment team was formed, and a total of 63 self-assessment items with 4 core indicators in key element X "quality process and risk management" were selected and designed into questionnaires. Likert 5-level scores were used for preliminary assessment of key elements, core indicators, and the mean values and percentages of self-assessment items with the lowest and highest scores. Results The score of key element X was 65.71%, the score of core index ranged from 60.32% to 73.08%, the lowest score of self-assessment items was 42.31%, 50.00% and 50.00%, and the highest score was 90.38%. Conclusion The evaluation of key element X of ISMP Self-Assessment Standard for Drug Safety in hospitals can quickly find the problems in hospital quality process and risk management, clarify the direction of improvement, and improve the level of drug safety management.

参考文献/References:

[1]Ciapponi A,Fernandez Nievas SE,Seijo M,et al.Reducing medication errors for adults in hospital settings[J].Cochrane Database Syst Rev,2021,11(11):CD009985.[2]束雅春,江志伟,方祝元.基于系统论指导的医疗机构药事管理体系构建[J].中国药业,2021,30(22):25-30.[3]余自成,张琳,任春霞,等.药物安全管理体系建设的探索与实践[J].中国临床药学杂志,2022,31(9):694-697.[4]孙雯娟,邹羽真,张凡,等.抗肿瘤药物安全管理系统的建立与运行效果分析[J].协和医学杂志,2022,13(3):461-467.[5]中国药理学会药源性疾病学专业委员会,北京市卫生和计划生育委员会临床安全用药组,张青霞,等.2011版ISMP医院用药安全自我评估标准(中文版)[J].药物不良反应杂志,2017,19(5):368-374.[6]Lesar T,Mattis A,Anderson E,et al.Using the ISMP Medication Safety Self-Assessment to improve medication use processes[J].Joint Commission Journal on Quality and Safety,2003,29(5):211-226.[7]张欣,都丽萍,李时雨,等.2011年版美国用药安全自评量表汉化及应用初测[J].中国医院药学杂志,2017,37(21):2109-2112.[8]张镭,商永光,谭玲,等.国内21家三甲综合性医院用药安全自我测评结果与分析[J].中国医院药学杂志,2019,39(13):1390-1394.[9]邓昂,陆进,朱立平,等.美国ISMP用药安全自我测评系统分析及初步实践[J].中国药学杂志,2011,46(17):1372-1374.[10]Vaida AJ,Lamis RL,Smetzer JL,et al.Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011[J].Joint Commission Journal on Quality and Patient Safety,2014,40(2):51-67.[11]李晓玲,赵思邈,王雅葳,等.我国67家医院用药安全自我评估结果分析[J].药物不良反应杂志.2019,21(1):20-29.[12]陶亚萍,朱欣佳.JCI标准下心血管病房药品安全管理实践[J].中医药管理杂志,2021,29(7):121-122.[13]张杨,郭倩,孙一琦,等.医疗机构用药安全的风险因素及其管理实践[J].现代药物与临床,2022,37(1):192-196.[14]袁偲偲,王广燕,李轶凡,等.基于失效模式与效应分析的麻精药品临床管理安全相关风险因素研究[J].中国药物警戒,2023,20(9):1027-1030,1059.[15]唐慧琳,朱忠,周琴芬,等.合理用药重点监控制度及应用研究[J].医院管理论坛,2021,38(6):55-57.[16]金瑶,钟璐,刘通,等.某省医务人员用药风险调查及影响因素分析[J].中国药学杂志,2023,58(10):939-946.[17]江苏省医疗机构智慧药房用药错误管理规范[J].药学与临床研究,2023,31(6):551-559.[18]宋梦如,刘姗姗,吴杲,等.智能审方系统+新型药学服务在改进静脉药物集中配置中心工作模式中的作用初探[J].中国医院用药评价与分析,2023,23(9):1143-1148,1152.[19]许岑,杨本军,宁丽娟.门诊处方前置审核系统中重复用药模块审查规则的优化实践[J].安徽医药,2023,27(12):2538-2541.[20]姚旺,周晓燕,杨彦平,等.住院患者静脉用药风险防范优化策略研究[J].中国卫生质量管理,2023,30(9):10-16.

相似文献/References:

[1]白丽娟,谭云龙,孙延囡.北京地区医院图书馆员职业倦怠与主观幸福感调查研究[J].医学信息,2018,31(02):60.[doi:10.3969/j.issn.1006-1959.2018.02.021]
　BAI Li-juan,TAN Yun-long,SUN Yan-nan.Investigation and Research on Job Burnout and Subjective Well - being ofHospital Librarians in Beijing Area[J].Journal of Medical Information,2018,31(02):60.[doi:10.3969/j.issn.1006-1959.2018.02.021]
[2]潘晓辉.医院科研兼职档案员队伍存在的问题及解决对策[J].医学信息,2018,31(06):25.[doi:10.3969/j.issn.1006-1959.2018.06.009]
　PAN Xiao-Hui.Problems and Solutions of Part-time Archivists in Hospital Scientific Research[J].Journal of Medical Information,2018,31(02):25.[doi:10.3969/j.issn.1006-1959.2018.06.009]
[3]刘 映,王媛媛,梁 萍,等.性化管理措施对医院形象提升的思考[J].医学信息,2018,31(08):25.[doi:10.3969/j.issn.1006-1959.2018.08.009]
　LIU Ying,WANG Yuan-yuan,LIANG Ping,et al.Reflections on the Improvement of Hospital Image with Humane Management Measures[J].Journal of Medical Information,2018,31(02):25.[doi:10.3969/j.issn.1006-1959.2018.08.009]
[4]潘晓辉,李 蓉.某三级甲等综合型医院国家自然科学基金管理策略探讨[J].医学信息,2018,31(11):31.[doi:10.3969/j.issn.1006-1959.2018.11.010]
　PAN Xiao-hui,LI Rong.Discussion on the Management Strategy of National Natural Science Fund of a Class A Comprehensive Hospital[J].Journal of Medical Information,2018,31(02):31.[doi:10.3969/j.issn.1006-1959.2018.11.010]
[5]赵 欣.医院临床中麻醉信息系统的应用分析[J].医学信息,2018,31(15):10.[doi:10.3969/j.issn.1006-1959.2018.15.005]
　ZHAO Xin.Application Analysis of Anesthesia Information System in Hospital Clinical Practice[J].Journal of Medical Information,2018,31(02):10.[doi:10.3969/j.issn.1006-1959.2018.15.005]
[6]刘禹良.基于Access的临床流感病例管理信息系统[J].医学信息,2019,32(01):25.[doi:10.3969/j.issn.1006-1959.2019.01.009]
　LIU Yu-liang.Access-based Clinical Influenza Case Management Information System[J].Journal of Medical Information,2019,32(02):25.[doi:10.3969/j.issn.1006-1959.2019.01.009]
[7]刘 超,吴姗姗,杨海波.大知识背景下医院图情档案一体化发展与工作创新[J].医学信息,2019,32(04):32.[doi:10.3969/j.issn.1006-1959.2019.04.012]
　LIU Chao,WU Shan-shan,YANG Hai-bo.Integrated Development and Work Innovation of Hospital Maps and Archives under the Background of Great Knowledge[J].Journal of Medical Information,2019,32(02):32.[doi:10.3969/j.issn.1006-1959.2019.04.012]
[8]王晓天.基于信息技术发展的医院信息化系统建设[J].医学信息,2019,32(06):25.[doi:10.3969/j.issn.1006-1959.2019.06.009]
　WANG Xiao-tian.Construction of Hospital Information System Based on Information Technology Development[J].Journal of Medical Information,2019,32(02):25.[doi:10.3969/j.issn.1006-1959.2019.06.009]
[9]丁志虎,胡光阔.智能机器人在医院消毒作业中的应用[J].医学信息,2020,33(05):28.[doi:10.3969/j.issn.1006-1959.2020.05.009]
　DING Zhi-hu,HU Guang-kuo.Application of Intelligent Robot in Hospital Disinfection[J].Journal of Medical Information,2020,33(02):28.[doi:10.3969/j.issn.1006-1959.2020.05.009]
[10]高 坤.九型人格在医院人力资源管理中的应用[J].医学信息,2020,33(14):15.[doi:10.3969/j.issn.1006-1959.2020.14.006]
　GAO Kun.Application of Nine-type Personality in Hospital Human Resource Management[J].Journal of Medical Information,2020,33(02):15.[doi:10.3969/j.issn.1006-1959.2020.14.006]

更新日期/Last Update: 1900-01-01