Practice of High-alert Medicine Managem ent in Our Hospital Based on JCI and HIMSS Standard
	    		
		   		
	    	
    	
    	
   		
        
        	
        		- VernacularTitle:基于JCI和HIMSS标准的我院高警示药品管理工作实践
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Wei XIONG
			        		
			        		
			        		
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			        		Xiaoxia LI
			        		
			        		
			        		
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			        		Qixiang ZHANG
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Dept. of Pharmacy,Jiande Municipal First People’s Hospital,Hangzhou 311600,China
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Journal Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		JCI;
			        		
			        		
			        		
				        		HIMSS;
			        		
			        		
			        		
				        		High-alert medicine;
			        		
			        		
			        		
				        		Drug management
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			China Pharmacy
	            		
	            		 2019;30(20):2866-2870
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
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		        	Abstract:
			       	
			       		
				        
				        	OBJECTIVE: To provide reference for the management of high-alert medicine. METHODS: Based on the requirements of JCI and HIMSS standards, the mode of high-alert medicine management were established, including formulation of high-alert medicine list, identification and storage, prescribing medical order, reviewing medical order, dispensing and application, post-administration monitoring and other key management links. Then the effectiveness analysis was carried out. RESULTS: After implementing high-alert medicine management measures, the qualification rate of high-alert medicine storage increased from 29.28% to 95.50% and the incidence of irrational medical order involving high-alert medicine decreased from 3.43% to 1.99%, with statistical significance (P<0.01). The errors of dispensing was reduced from 35 to 0 monthly, high-alert medicine-related adverse events reduced from 18 to 3 monthly, and the safety of high-alert medicine was greatly improved. CONCLUSIONS: Through the establishment of high-alert medicine management model based on JCI and HIMSS standards in our hospital, the management of high-alert medicine is standardized, the risk of drug use is reduced.