藥物使用之標(biāo)準(zhǔn)、制度相關(guān)問(wèn)題及參考答案

1、“藥物使用”標(biāo)準(zhǔn)、測(cè)量要素、目的及相關(guān)制度、模擬問(wèn)題編號(hào)標(biāo) 準(zhǔn)測(cè) 量 要 素目的相關(guān)制度11有效地管理醫(yī)院用藥以滿足病人的需求。Medication use in the organization is efficiently organized to meet patient needs有效地管理全院用藥以滿足病人需求。Medication use is organized throughout the organization so that patient medication needs are metMedications are frequently used for treati

2、ng illness and moderating symptoms. As an important resource in patient care, medication use must be organized effectively and efficiently throughout a health care organization. Medication management is not only the responsibility of the pharmaceutical service but also of managers and clinical care

3、providers. How this responsibility is shared depends on the organizations structure and staffing. In those cases where a pharmacy is not present, medications may be managed on each clinical unit. In other cases, where a large central pharmacy is present, the pharmacy may organize and control medicat

4、ions throughout the organization. Applicable laws and regulations are incorporated into the organizational structure and the operations of the medication management system used in the organization.D-1D-20所有藥物相關(guān)制度1 如何取得某藥物之商品名、化學(xué)名或其他藥品相關(guān)知識(shí)？編號(hào)標(biāo) 準(zhǔn)測(cè) 量 要 素目的相關(guān)制度醫(yī)院藥房或藥劑服務(wù)和藥物使用必須遵守相關(guān)的法律法規(guī)。The pharmacy or p

5、harmaceutical service and medication use in the organization comply with applicable laws and regulations藥房或藥劑服務(wù)和藥物使用遵守相關(guān)的法律法規(guī)。The pharmacy or pharmaceutical service and medication use comply with applicable laws and regulations(see COP.11) HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-2處方和藥物醫(yī)囑管理

6、規(guī)定 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-6 控制性藥品管理制度 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-8藥品貯存制度 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-18試驗(yàn)藥物管理制度 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-19藥物樣品贈(zèng)品管理制度 你認(rèn)為你的工作合法嗎？你怎么確定藥劑科的各項(xiàng)工作是合法的？ 藥劑科應(yīng)備有基本用藥目錄單上的處方藥，供臨床使

7、用。醫(yī)院基本處方用藥的選擇符合醫(yī)院宗旨、病人需求及醫(yī)院提供的服務(wù)。有醫(yī)院基本用藥目錄或可及時(shí)從院外獲得藥品的清單。醫(yī)院基本用藥目錄的選擇是個(gè)協(xié)作的過(guò)程。每家醫(yī)院應(yīng)規(guī)定那些能在基本用藥目錄單上供臨床使用的藥物，該規(guī)定應(yīng)根據(jù)醫(yī)院宗旨，病人治療需求和醫(yī)院為病人提供的服務(wù)決定。醫(yī)院應(yīng)有基本用藥目錄單或可及時(shí)從院外獲得的藥物。在某些情況下，法律或法規(guī)可能會(huì)規(guī)定哪些藥物必須包括在基本用藥目錄中。 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-1醫(yī)院用藥管理制度 HYPERLINK Hospital Policy2005.4.2802醫(yī)院組織管理篇.do

8、c F-6委員會(huì)制度 HYPERLINK 目錄.doc 院網(wǎng)首頁(yè)3 醫(yī)院的用藥目錄確定的原則是什么？4 藥物采購(gòu)計(jì)劃如何制定并執(zhí)行？醫(yī)院如何修改藥品目錄：增加或減少藥品目錄中藥物品種？6-1 如何得到醫(yī)院藥品目錄？編號(hào)標(biāo) 準(zhǔn)測(cè) 量 要 素目的相關(guān)制度醫(yī)院對(duì)基本用藥目錄和藥物使用有監(jiān)督機(jī)制。There is a method for overseeing the organizations medication list and medication use醫(yī)院有監(jiān)督用藥目錄的機(jī)制。醫(yī)院有監(jiān)督藥物使用的機(jī)制。醫(yī)院有防止藥品失竊的機(jī)制。There is a method for overseein

9、g the medication listThere is a method for overseeing medication use in the organizationMedications are protected from loss or theft用藥選擇是個(gè)互相協(xié)作的過(guò)程，它必須考慮病人的需求和安全，同時(shí)還須考慮經(jīng)濟(jì)因素。醫(yī)院應(yīng)有一種方法如藥事委員會(huì)來(lái)討論和決定基本用藥目錄，并監(jiān)控全院用藥情況。偶爾，臨床上會(huì)用基本用藥目錄單上所沒(méi)有的藥物。同樣，有時(shí)夜間需要用某些藥或藥房已下班或藥物被鎖上，每家醫(yī)院應(yīng)對(duì)此類情況下藥品的及時(shí)獲得作出相應(yīng)的規(guī)定，并教育員工 HYPERLINK 委

10、員會(huì)制度.doc F-6委員會(huì)制度 HYPERLINK PHR-G-4緊急情況.doc PHR-G-4藥劑科安全和緊急事件的應(yīng)對(duì) HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-6控制藥品醫(yī)院監(jiān)督藥物使用的流程是怎樣的？你如何監(jiān)控用藥的準(zhǔn)確性？你如何預(yù)防藥物遺失或被盜？控制性藥品失竊了，你怎么辦？編號(hào)標(biāo) 準(zhǔn)測(cè) 量 要 素目的相關(guān)制度醫(yī)院能及時(shí)獲得某些需要但藥房沒(méi)有的藥物。The organization can readily obtain medications not stocked or normally available to th

11、e organization1 能及時(shí)獲得某些需要但藥房沒(méi)有的藥品。2 員工知道該流程。There is a process to obtain required medications not stocked or normally available to the organization 行542Staff understands the process如何按規(guī)定的程序獲得所需的藥品。當(dāng)病人出現(xiàn)緊急情況時(shí)，快速獲得某些急救藥品很重要。每家醫(yī)院規(guī)定藥品的放置位置和管理，急救藥品可以考慮放于急救藥柜、急救車、袋子或箱子等，為了確保緊急情況下急救藥品的獲得，醫(yī)院應(yīng)建立一個(gè)機(jī)制來(lái)防止急救藥物的濫

12、用、被竊或丟失，并確保急救藥物在使用后或在過(guò)期/損壞時(shí)，及時(shí)更換。 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-1 醫(yī)院用藥管理制度你如何得到臨床需要使用但藥房沒(méi)有的藥品？描述該流程。在藥房正常工作時(shí)間之外，有取藥途徑。There is a process to obtain medications when the pharmacy or pharmaceutical service is closed在藥房正常工作時(shí)間之外，有取藥流程。員工知道該流程。There is a process to obtain medications w

13、hen the pharmacy is closedStaff understands the process(see ) HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-14病區(qū)藥房送藥制度11 夜間急診/住院病人如何得到藥物？編號(hào)標(biāo) 準(zhǔn)測(cè) 量 要 素目的相關(guān)制度能及時(shí)獲得急救藥品，并對(duì)儲(chǔ)存在藥房外的急救藥進(jìn)行監(jiān)控，確保安全。在規(guī)定時(shí)間內(nèi)獲得急救藥品。妥善保管急救藥品以防丟失或失竊。監(jiān)控急救藥品，并在使用后或在過(guò)期/損壞時(shí)，及時(shí)更換。12-1 急救車藥物是如何管理的？醫(yī)院制度和程序指導(dǎo)開(kāi)藥，給藥和用藥監(jiān)測(cè)。Prescribing, orde

14、ring, administration, and monitoring of medications are guided by policies and procedures制度和程序指導(dǎo)開(kāi)藥、給藥和用藥監(jiān)測(cè)。根據(jù)規(guī)定書(shū)寫(xiě)醫(yī)囑。規(guī)定口頭藥物醫(yī)囑的使用。相關(guān)人員接受開(kāi)藥、給藥和用藥監(jiān)測(cè)培訓(xùn)。Policies and procedures guide the safe prescribing, ordering, administration, and monitoring of medications in the organizationDocumentation requirements

15、 are statedThe use of verbal medication orders is statedRelevant staff is trained in correct prescribing, ordering, administration, and monitoring practicesSafe prescribing, ordering, administration, and monitoring of medications and their effects are guided by organization policies and procedures.

16、Medical, nursing, pharmacy, and administrative staff collaborate to develop and monitor the policies and procedures. Requirements for documenting medications ordered or prescribed and using verbal medication orders are defined in policy. Relevant staff is trained in correct prescribing, ordering, an

17、d administration practices. HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-2處方和藥物醫(yī)囑管理規(guī)定 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-7化療藥物管理制度12是否有書(shū)面的制度和規(guī)定來(lái)指導(dǎo)開(kāi)藥、給藥、用藥監(jiān)測(cè)？所有使用藥物的部門(mén)是否執(zhí)行這些制度？口頭醫(yī)囑怎么執(zhí)行？編號(hào)標(biāo) 準(zhǔn)測(cè) 量 要 素目的相關(guān)制度 醫(yī)院規(guī)定開(kāi)藥、給藥人員的資格。只有有相應(yīng)執(zhí)照、符合法律法規(guī)要求并得到醫(yī)院認(rèn)可的人員才有處方權(quán)。醫(yī)院對(duì)某些特殊藥物的處方權(quán)限制有相應(yīng)的規(guī)定。藥房有全院擁有處

18、方權(quán)的醫(yī)生的名字。4 有相應(yīng)執(zhí)照、符合法律法規(guī)要求并得到醫(yī)院認(rèn)可的人員才有權(quán)給藥。 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-20藥品處方權(quán)資格認(rèn)定制度 誰(shuí)有資格開(kāi)處方/藥物醫(yī)囑？你怎么確定開(kāi)處方/藥物醫(yī)囑的醫(yī)生具有相應(yīng)的權(quán)限？誰(shuí)可以給病人用藥？編號(hào)標(biāo) 準(zhǔn)測(cè) 量 要 素目的相關(guān)制度醫(yī)院制度和操作規(guī)程規(guī)定病人自我用藥管理、藥物樣品的控制、病人/家屬自帶藥物的使用和出院帶藥。Policies and procedures govern any patient self-administration of medications, the c

19、ontrol of medication samples, the use of any medications brought into the organization by the patient or his or her family, and the dispensing of medications at discharge制度和操作規(guī)程管理病人的自我用藥。制度和操作規(guī)程控制藥物樣品的獲得和使用。制度和操作規(guī)程控制病人的自帶藥品。制度和操作規(guī)程控制病人的出院帶藥。制度和操作規(guī)程得到實(shí)施。Policies and procedures govern patient self-adm

20、inistration of medications 護(hù)12Policies and procedures control the availability and use of medication samplesPolicies and procedures govern the documentation and management of any medications brought into the organization for or by the patient 護(hù) 12Policies and procedures govern the dispensing of medi

21、cations at the time of the patients discharge Policies and procedures are implementedOverseeing medication use in an organization requires an understanding of the sources and uses of medications that are not prescribed or ordered in the organization. Medications brought into the organization by the

22、patient or his or her family are known to the patients physician and noted in the patients record. The organization controls the availability and use of medication samples. The self-administration of medications, either those brought into the organization or those prescribed or ordered within the or

23、ganization, is known to the patients physician and noted in the patients record. Each organization also needs to determine its role in providing medications to patients at discharge. Those who prescribe or order medication and patients and their families know what medications, if any, are available,

24、 how to obtain them, and if there are any limits or costs. These medication use practices are guided by organization policies and procedures to ensure patient safety and therapeutic effectiveness. HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-12 病人自備注射藥物和自我給藥規(guī)定 HYPERLINK Hospital Policy2005.4.28

25、01病人服務(wù)管理篇.doc D-19 藥物樣品贈(zèng)品管理制度 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D13病人出院帶藥規(guī)定病人是否可以使用所有自備的口服藥物或者注射劑？藥物樣品可以給病人使用嗎？病人有出院帶藥嗎？怎么控制出院帶藥？編號(hào)標(biāo) 準(zhǔn)測(cè) 量 要 素目的相關(guān)制度制度和操作規(guī)程指導(dǎo)腸內(nèi)/外營(yíng)養(yǎng)治療的準(zhǔn)備、配制、貯存和發(fā)放。制度和操作規(guī)程指導(dǎo)腸內(nèi)外營(yíng)養(yǎng)品的貯藏、準(zhǔn)備和發(fā)放。制度和操作規(guī)程得到實(shí)施。 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-2處方和藥物醫(yī)囑管理規(guī)定五 住院病人TPN

26、的管理21 醫(yī)院腸內(nèi)/腸外營(yíng)養(yǎng)是怎么準(zhǔn)備、配置、貯存和發(fā)放的？制度和操作規(guī)程指導(dǎo)放射性藥物、科研用藥和其它藥物的保管、發(fā)放和處理。Policies and procedures govern the storage, distribution, handling, and dispensing of radioactive, investigational, and other medications制度和操作規(guī)程指導(dǎo)放射性藥物的保管、發(fā)放和處理。制度和操作規(guī)程指導(dǎo)科研用藥的保管、發(fā)放和處理。Policies and procedures govern the storage, handlin

27、g, distribution, and dispensing of radioactive medications Policies and procedures govern the storage, handling,distribution, and dispensing of investigational medicationsThe organization ensures that radioactive, investigational, and other such medications are safe and used appropriately. The stora

28、ge, handling, distribution, and dispensing are governed by policies and procedures. HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D6 控制性藥品管理制度 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-7化療藥物管理制度 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-18試驗(yàn)藥物管理制度22 放射性藥品是怎么保管、發(fā)放和處理的？23 科研用藥的定義是什么？

29、科研用藥是怎么保管、發(fā)放、處理的？編號(hào)標(biāo) 準(zhǔn)測(cè) 量 要 素目的相關(guān)制度藥物應(yīng)在安全和清潔的環(huán)境中儲(chǔ)存、準(zhǔn)備和發(fā)放。Medications are stored, prepared, and dispensed in a safe and clean environment藥物標(biāo)簽清晰。儲(chǔ)存恰當(dāng)。在清潔和安全的環(huán)境中準(zhǔn)備和分發(fā)藥物。藥物準(zhǔn)備和發(fā)放符合相關(guān)的法律法規(guī)和專業(yè)實(shí)踐標(biāo)準(zhǔn)。Medications are labeled properlyMedications are stored properlyMedications are prepared and dispensed in clean

30、 and safe areas 護(hù)15Medications preparation and dispensing adhere to law, regulation, and professional standards of practiceThe pharmacy or pharmaceutical service prepares and dispenses medications in a clean and safe environment that complies with law, regulation, and professional practice standards

31、. In particular, medications are clearly labeled, stored properly, and protected from heat and light when necessary. Medications stored and dispensed from areas outside the pharmacy, for example patient care units, comply with the same safety measures. HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc

32、 D3 藥物使用規(guī)定 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-8 藥品的儲(chǔ)存制度 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-10多劑量注射藥品（西林瓶）的使用 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-14病區(qū)藥房送藥制度 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-15退藥制度 HYPERLINK PHR-G-11藥品效期管理.doc PHR-G-11效期 HYP

33、ERLINK PHR-G-3設(shè)施管理.doc PHR-G-3設(shè)施24 藥物按照什么原則存放？定位嗎？新增加的藥物品種如何擺放？25 散片、小針劑沒(méi)有效期標(biāo)示時(shí)，你怎么確定有效期？26 配置完成的輸液有效期（穩(wěn)定時(shí)間）如何確定？27 貯存藥品的效期、品質(zhì)如何保證？28 你多久進(jìn)行一次藥架或冰箱的清潔？29 有些藥品需冷藏或冷凍貯存，你如何確定溫度是否符合要求？30 化療藥物是如何準(zhǔn)備、分發(fā)、使用的？31 藥物補(bǔ)充時(shí)，怎么確保正確？編號(hào)標(biāo) 準(zhǔn)測(cè) 量 要 素目的相關(guān)制度由執(zhí)業(yè)藥師、技術(shù)員或其他受過(guò)專業(yè)訓(xùn)練的人員負(fù)責(zé)監(jiān)督藥物的儲(chǔ)存、準(zhǔn)備和發(fā)放。An appropriately licensed pha

34、rmacist, technician, or other trained professional supervises the storage, preparation, and dispensing of medications1 有資格的人員監(jiān)督藥房的工作。2 藥品發(fā)放準(zhǔn)確?？刂菩运幤穾つ壳宄?。A qualified individual supervises all activitiesMedications are accurately dispensedControlled substances are accurately accounted forA qualified in

35、dividual directly supervises the activities of the pharmacy or pharmaceutical service. The individual is appropriately licensed, certified, and trained. Supervision includes controlling all medications and safely and accurately dispensing medication. There is a registry, log, or other mechanism to m

36、onitor and account for controlled substances. HYPERLINK PHR-G-2員工資格和教育.doc PHR-G-2員工資格和教育 HYPERLINK Hospital Policy2005.4.2802醫(yī)院組織管理篇.doc F-6委員會(huì)制度 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-6控制性藥品管理制度32 藥房有非專業(yè)人員從事藥學(xué)服務(wù)嗎？你如何確保藥品發(fā)放的準(zhǔn)確性？你如何預(yù)防聽(tīng)似、看似的藥物發(fā)放錯(cuò)誤？35 你如何保證控制性藥品（精、麻、毒、放）之帳物相符？編號(hào)標(biāo) 準(zhǔn)測(cè) 量 要 素目的

37、相關(guān)制度醫(yī)囑核對(duì)。Medication prescriptions or orders are verified用藥前核對(duì)醫(yī)囑/處方。有疑問(wèn)時(shí)聯(lián)系開(kāi)醫(yī)囑的醫(yī)生。Each prescription or order is reviewed before administration 醫(yī)544There is a process to contact the individual who prescribed or ordered the medication when questions arise 醫(yī)544The licensed pharmacist, technician, or trai

38、ned professional reviews each prescription or order for medication before administration. When questions arise, the individual who prescribed or ordered the medication is contacted. HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-2處方和藥物醫(yī)囑管理規(guī)定 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D3 藥物使用

39、規(guī)定36 調(diào)配處方/醫(yī)囑時(shí)，你核對(duì)哪些內(nèi)容？有疑問(wèn)時(shí)，你如何聯(lián)系醫(yī)生？目的是什么？38-1 HYPERLINK 過(guò)敏實(shí)驗(yàn).doc 如何確認(rèn)病人對(duì)所用藥物不過(guò)敏？編號(hào)標(biāo) 準(zhǔn)測(cè) 量 要 素目的相關(guān)制度11.4.3 醫(yī)院有藥物召回系統(tǒng)。The organization has a medication recall system醫(yī)院有藥物召回系統(tǒng)。醫(yī)院制度和操作規(guī)程規(guī)定即將過(guò)期或已過(guò)期藥品的使用。醫(yī)院制度和操作規(guī)程規(guī)定即將過(guò)期或已過(guò)期藥品的銷毀。制度和操作規(guī)程得到實(shí)施。There is a medication recall system in placePolicies and procedure

40、s address any use of medications known to be expired or outdated.Policies and procedures address the destruction of medications known to be expired or outdatedPolicies and procedures are implementedThe organization has a process for identifying, retrieving, and returning or destroying medications re

41、called by the manufacturer or supplier. There is a policy or procedure that addresses any use of or the destruction of medications known to be expired or outdated. HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-8藥品貯存制度D HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc 16 藥物召回制度什么情況下藥物被召回？請(qǐng)描述召回系統(tǒng)。已

42、過(guò)期的藥物是怎么處理的？（報(bào)損制度）近效期藥品是怎么管理的？（效期管理制度）（請(qǐng)將記錄作為證據(jù)。）編號(hào)標(biāo) 準(zhǔn)測(cè) 量 要 素目的相關(guān)制度醫(yī)院給藥系統(tǒng)確保在正確的時(shí)間把正確的劑量發(fā)放給正確的病人。A system is used to dispense medications in the right dose to the right patient at the right time HYPERLINK 給藥系統(tǒng).doc 醫(yī)院有統(tǒng)一的給藥系統(tǒng)。發(fā)藥程序盡量簡(jiǎn)便。3 發(fā)藥準(zhǔn)確。發(fā)藥及時(shí)。There is a uniform medication dispensing and distributi

43、on system in the organization Medications are dispensed in a form requiring minimal manipulationThe system supports accurate dispensingThe system supports timely dispensingThe organization dispenses medications in the most ready-to-administer form possible to minimize opportunities for error during

44、distribution and administration. The central pharmacy and other medication-distribution points throughout the organization use the same system. The system supports accurate dispensing of medications in a timely manner. HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-4給藥錯(cuò)誤處理制度如何保證病人用藥時(shí)間的一致？怎么確保藥品調(diào)配

45、和使用的正確？怎么保證病人及時(shí)用藥？編號(hào)標(biāo) 準(zhǔn)測(cè) 量 要 素目的相關(guān)制度給藥前核對(duì)病人。Patients are identified before medications are administered有病人身份確認(rèn)機(jī)制。給藥前核對(duì)病人姓名。There is a system in place to ensure the identification of patientsPatients are identified before medications are administered The safe administration of medications includes ve

46、rifying theMedication with the prescription or order;Time and frequency of administration with the prescription or order;Dosage amount with the prescription or order;Route of administration with the prescription or order; andIdentity of the patient HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-2

47、處方和藥物醫(yī)囑管理規(guī)定 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-13病人出院帶藥規(guī)定44 你如何確定藥物給了正確的病人？（門(mén)診病人發(fā)藥、住院病人給藥）編號(hào)標(biāo) 準(zhǔn)測(cè) 量 要 素目的相關(guān)制度在正確的時(shí)間給病人正確的劑量。The right dose of medication is administered at the right time核對(duì)藥物。核對(duì)劑量。核對(duì)給藥途徑。在規(guī)定時(shí)間內(nèi)給藥。根據(jù)醫(yī)囑要求給藥。Medications are verified with the prescription or order The dosag

48、e amounts of the medication are verified with the prescription or order The routes of administration are verified with the prescription or order Medications are administered on a timely basisMedications are administered as prescribed(see ) HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-2處方和藥物醫(yī)囑管理

49、規(guī)定 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D3 藥物使用規(guī)定 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-10多劑量注射藥品（西林瓶）的使用 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-11氯化鉀的使用和管理46 你怎么保證藥物調(diào)配和使用完全正確？（住院指住院病人，不排除門(mén)診病人）編號(hào)標(biāo) 準(zhǔn)測(cè) 量 要 素目的相關(guān)制度監(jiān)測(cè)病人藥物療效。Medication effects on patients are monitored監(jiān)測(cè)

50、病人藥物療效。2 協(xié)同監(jiān)測(cè)。Medication effects on patients are monitoredThe monitoring process is collaborativeThe patient, his or her physician, nurse, and other care providers work together to monitor patients on medications. The purposes of monitoring are to evaluate the medications effect on the patients symp

51、toms or illness, adjust the dosage or type of medication when needed, and evaluate the patient for adverse effects. HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D3 藥物使用規(guī)定47 病人的藥物療效是怎么監(jiān)測(cè)的？編號(hào)標(biāo) 準(zhǔn)測(cè) 量 要 素目的相關(guān)制度藥物醫(yī)囑及用藥情況記錄于病歷中。Medications prescribed and administered are written in the patients record1

52、藥物醫(yī)囑記錄于病歷中。2 記錄每次給藥。3 用藥信息保存在病歷中或在出院/轉(zhuǎn)院時(shí)放入 病人病歷中。Medications prescribed or ordered are recorded for each patientMedication administration is recorded for each doseMedication information is kept in the patients record or inserted into his or her record at discharge or transferThe record of each patie

53、nt who receives a medication contains a list of the medications prescribed or ordered for the patient and the dosage and times the medication was administered. Included are medications administered “as needed.” If this information is recorded on a separate medication form, the form is inserted in th

54、e patients record at discharge or transfer. HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-2處方和藥物醫(yī)囑管理規(guī)定 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D3 藥物使用規(guī)定編號(hào)標(biāo) 準(zhǔn)測(cè) 量 要 素目的相關(guān)制度在病歷中記錄任何藥物不良反應(yīng)。Adverse medication effects are noted in the patients record療效觀察包括觀察藥物不良反應(yīng)。醫(yī)院規(guī)定哪些不良反應(yīng)必須記錄，哪些必須上報(bào)。不良反應(yīng)記錄于

55、病歷中。根據(jù)要求報(bào)告不良反應(yīng)。Monitoring includes observing adverse medication effectsThe organization has identified those adverse effects that are to be recorded in the patients record and those that must be reported to the organizationAdverse effects are documented in the patients recordAdverse effects are repo

56、rted as requiredMonitoring medication effects includes observing and documenting any adverse effects. The organization identifies all adverse effects that are to be recorded and those that must be reported. The organization establishes a mechanism for reporting adverse events when required and the t

57、ime frame for reporting. HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D3 藥物使用規(guī)定 HYPERLINK Hospital Policy2005.4.2801病人服務(wù)管理篇.doc D-5 藥物不良反應(yīng)處理制度48 哪些藥物不良反應(yīng)必須記錄，哪些必須上報(bào)？接到藥物不良反應(yīng)的信息時(shí)，你怎么做？請(qǐng)藥物不良反應(yīng)報(bào)告程序。編號(hào)標(biāo) 準(zhǔn)測(cè) 量 要 素目的相關(guān)制度醫(yī)院規(guī)定給藥差錯(cuò)的報(bào)告程序及時(shí)間框架。Medication errors are reported through a process and time frame d

58、efined by the organization定義給藥差錯(cuò)。在規(guī)定時(shí)間內(nèi)報(bào)告給藥差錯(cuò)。 利用給藥差錯(cuò)報(bào)告提供的信息來(lái)改進(jìn)給藥流程。A medication error is definedMedication errors are reported in a timely manner using an established processThe organization uses medication error reporting information to improve medication use processesThe organization has a proces

59、s to identify and report medication errors. The process includes defining a medication error, using a standardized format for reporting, and educating staff on the process and importance of reporting. The reporting process is part of the organizations performance improvement program. The program foc

60、uses on preventing medication errors through understanding the types of errors that occur in the organization and in other organizations. Improvements in medication processes and staff training are used to prevent errors in the future. The pharmacy participates in such staff training. HYPERLINK Hosp