T/CHAS 20-2-2-2021 医疗机构药事管理与药学服务 第 2-2 部分：临床药学服务 处方审核

ICS11.020

C07

团体标准

T/CHAS20-2-2—2021

医疗机构药事管理与药学服务

第2-2部分：临床药学服务处方审核

PharmacyadministrationandPharmacypracticeinHealthcareinstitutions——

Part2-2:PharmacyPractice—PrescriptionReview

2021-11-20发布2022-1-1实施

中国医院协会发布

T/CHAS20-2-2—2021

目次

前言............................................................................................................................................................................III

1范围.............................................................................................................................................................................1

2规范性引用文件.........................................................................................................................................................1

3术语与定义.................................................................................................................................................................1

4关键要素.....................................................................................................................................................................1

5要素规范.....................................................................................................................................................................2

5.1基本要求............................................................................................................................................................2

5.1.1管理组织......................................................................................................................................................................2

5.1.2制度建设......................................................................................................................................................................2

5.1.3人员要求......................................................................................................................................................................2

5.1.4服务范围及场所..........................................................................................................................................................3

5.1.5软硬件设备..................................................................................................................................................................3

5.2审核过程............................................................................................................................................................3

5.2.1审核对象......................................................................................................................................................................3

5.2.2审核内容......................................................................................................................................................................3

5.2.3审核依据......................................................................................................................................................................3

5.2.4审核方式......................................................................................................................................................................4

5.2.5审核流程......................................................................................................................................................................4

5.2.6审核记录......................................................................................................................................................................4

5.3质量管理与评价改进........................................................................................................................................4

5.3.1质量控制......................................................................................................................................................................4

5.3.2评价指标......................................................................................................................................................................4

5.3.3结果反馈......................................................................................................................................................................5

5.3.4持续改进......................................................................................................................................................................5

附录A（规范性）医疗机构处方审核项目及内容....................................