### Summary box #### What are the new findings? #### How might it impact on healthcare in the future? Medication stored in hospitals, nursing homes, general practice surgeries or pharmacies must be handled, stored, dispensed and disposed of securely to protect patients and staff in accordance with part 4, section 13 of the Health and Social Care Act.1 These standards were revised in 2014, requiring the service provider to ensure ‘proper and safe management of medicines’.2 The Care and Quality Commission (CQC) regulates compliance with this legislation by performing routine inspections of health and social care providers. In hospitals, controlled drugs (CDs) such as sedative or opiate-based medications are stored within locked cupboards.3 Both CD cupboards and drug trolleys, when open, must be constantly supervised by staff and if left unattended securely locked, even for short periods.4 In reality, guideline compliance in busy healthcare environments can be challenging to achieve. During planned CQC visits, staff may be at their most compliant, yet in 2012 inspectors reported that 14% of hospitals, 20% of nursing homes and 16% of residential homes across the UK failed to comply with the safe management of medicines standard during visits.5 Unlocked unattended medication trolleys have specifically been highlighted as issues of poor medication management in CQC reports, and in some cases this has affected …

中文翻译：

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评估基线实践以及新型药物安全性设备的实施和功效

###摘要框####有哪些新发现？####将来对医疗保健有何影响？必须根据《健康与社会关怀法》第13部分第1部分第4部分安全，安全地处理，存储，分发和处置存储在医院，疗养院，全科医生或药房中的药物，以保护患者和工作人员。 2014年，要求服务提供者确保“药品的正确和安全管理”。2护理和质量委员会（CQC）通过对健康和社会护理提供者进行例行检查来规范该法规的遵守情况。在医院中，镇静剂或阿片类药物等受控药物（CD）存放在上锁的橱柜中。3CD橱柜和药物推车在打开时，必须由员工不断监督，并且即使无人看管也要安全锁定，即使是短时间也是如此。4实际上，在繁忙的医疗环境中遵守准则可能很难实现。在计划的CQC访问期间，工作人员可能是最合规的，但2012年检查员报告说，英国14％的医院，20％的疗养院和16％的住所不符合访问期间的药品安全管理标准.5在CQC报告中，未锁定的无人看管的药物推车特别被强调为药物管理不善的问题，在某些情况下，这已影响到……