唐守艳+++盛夏

    [摘要] 目的 探讨基于美国医疗卫生机构认证联合委员会(JCI)体系的规范化管理在上海长海医院(以下简称“我院”)泌尿外科高危药品管理中的应用。 方法 2016年7月起我院泌尿外科高危药品管理采用基于美国JCI体系的规范化管理模式，比较该模式实施前(2016年1～6月)、实施后(2016年7～12月)泌尿外科高危药品管理情况。 结果 实施后护士对高危药品分类、适应证、禁忌证、贮存、配置、审核掌握情况显著高于实施前，差异有统计学意义(P < 0.05)；实施后高危药品分类贮存、双人核对、独立存放、专人管理、基数管理、备用药品清单、有效期管理、警示标识合格率显著高于实施前，差异有统计学意义(P < 0.05)。 结论 基于美国JCI体系的规范化管理能够提高护士安全用药意识，加强高危药品管理。

    [关键词] 规范化管理；泌尿外科；高危药品管理；应用价值

    [中图分类号] R954 [文献标识码] A [文章编号] 1673-7210(2017)06(b)-0131-04

    Department of Urology， Changhai Hospital of Shanghai， Shanghai 200433， China

    [Abstract] Objective To explore the application of standardized management based on Joint Commission certificated by American Medical Institutions (JCI) on high risk drugs management in Department of Urology of Changhai Hospital of Shanghai ("our hospital" for short). Methods Since July 2016， standardized management model based on American JCI system were applied into high-risk drug management in Department of Urology of our hospital. The management satuation of high-risk drugs in Department of Urology before implementation of the model (from January to June 2016) was compared with that after implementation (from July to December 2016). Results After implementation ......