ICS 11.020 C 07 团 体 标 准 T/CHAS 10-2-12--2019 中国医院质量安全管理 第 2-12部分：患者服务 临床用药 Quality and safety management of Chinese hospital—— Part 2-12: Patients service—Clinical medication 2019-07-06发布 2019-12-01 实施 中国医院协会 发 布 全国团体标准信息平台 T/CHAS 10-2-12--2019 I目 次 前 言................................................................................................................................................................. II 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 ........................................................................................................................................................ 2 5 要素规范 ........................................................................................................................................................ 2 5.1 病区药品管理 ....................................................................................................................................... 2 5.1.1 药品保管 ........................................................................................................................................ 2 5.1.2 基数药品 ........................................................................................................................................ 3 5.1.3 抢救车药品 .................................................................................................................................... 3 5.1.4 特殊管理药品 ................................................................................................................................ 3 5.1.5 自带药品 ........................................................................................................................................ 3 5.1.6 临床试验用药品 ............................................................................................................................ 3 5.2用药医嘱 ................................................................................................................................................ 4 5.2.1 医嘱开具 ........................................................................................................................................ 4 5.2.2 医嘱审核 ........................................................................................................................................ 4 5.2.3 医嘱执行........................................................................................................................................ 4 5.2.4 口头医嘱 ........................................................................................................................................ 5 5.3用药服务 ................................................................................................................................................ 5 5.3.1 临床药师制 .................................................................................................................................... 5 5.3.2 药学会诊 ........................................................................................................................................ 5 5.3.3 药物重整 ........................................................................................................................................ 5 5.3.4 出院用药 ........................................................................................................................................ 6 5.3.5 静脉用药集中调配 ........................................................................................................................ 6 5.3.6 治疗药物监测 ........................................................................................