OBJECTIVE： To promote quality control management of TCM decoction piece in secondary and tertiary TCM hospitals， integrated traditional Chinese and western medicine hospitals， and to guarantee the safety of drug use in patients. METHODS： According to 2016 TCM Decoction Piece Management Special Test Score of National Medical Institution made by quality control center of TCM in Shanghai， TCM decoction piece management of 22 secondary and tertiary TCM hospitals， integrated traditional Chinese and western medicine hospitals （14 and 8， respectively） in Shanghai were scored （the total score is 100）， summarized and analyzed by on-site inspection from 7 modules， such as pharmaceutical management， acceptance and storage maintenance， dispensing， decocting or outside processing， prescription standardization and prescription review. The suggestions were put forward. RESULTS & CONCLUSIONS： Average score of 22 hospitals was 91.97， and hospitals with excellent （the secondary and tertiary hospitals are 11 and 5， respectively） and good （the secondary and tertiary hospitals are 2 and 3， respectively） score accounted for 95.45％. Those hospitals obtained good score in respect of pharmaceutical management （the total score is 12， scored 11.73）. But in many hospitals， there are shortcomings in acceptance and storage maintenance， dispensing， outside processing， prescription standardization and prescription review management. It is suggested to control TCM decoction piece purchase and acceptance， strengthen TCM decoction piece maintenance and storage， enhance TCM decoction piece batch number management， effectively monitor TCM decoction piece outside processing， improve prescription standardization， implement TCM decoction piece prescription comment and standardize prescription name of TCM decoction piece so as to improve total quality of TCM decoction piece management.