Crane V S, Louviere M L
Am J Hosp Pharm. 1982 Oct;39(10):1665-71.
A pharmacy department's planning and preparation for a JCAH survey are described, and advice on meeting JCAH standards is presented. Problems resulting from expansion of pharmacy programs and staff at the hospital were analyzed, and a plan was developed to correct inconsistent procedures and inadequate documentation. JCAH source materials were studied to gain understanding of the standards and their application in this institution. A manager was appointed to carry out the plan, and the pharmacy staff was directly involved in planning for the survey. Priorities for corrective action were set on the basis of previous recommendations, current JCAH emphasis, and effect of the problem on patient care. Checklists were used to evaluate progress toward correcting deficiencies. Documentation of pharmacy operations was organized and summarized for presentation to the surveyor. A mock survey was conducted to assess preparation of the staff and physical aspects of the pharmacy. The pharmacy's goal was to meet all JCAH standards. The systematic preparation, the quality assurance procedures, and the training of the staff provided a basis for achieving this goal and maintaining high standards of operation.
本文描述了药房部门为联合委员会认证评审（JCAH）所做的规划与准备工作，并给出了关于符合JCAH标准的建议。分析了因医院药房项目与人员扩充而产生的问题，并制定了一项计划以纠正程序不一致和文件记录不充分的情况。研究了JCAH的原始资料，以了解这些标准及其在该机构中的应用。指定了一名经理来执行该计划，药房工作人员直接参与了评审的规划工作。根据先前的建议、JCAH当前的重点以及问题对患者护理的影响，确定了纠正措施的优先级。使用清单来评估纠正缺陷的进展情况。整理并总结了药房运营的文件记录，以便提交给评审人员。进行了一次模拟评审，以评估工作人员的准备情况和药房的实际情况。药房的目标是符合所有JCAH标准。系统的准备工作、质量保证程序以及工作人员培训为实现这一目标和维持高标准运营提供了基础。
