Page 14 - 2021年18期

公立医院“国考”形势下临床药师绩效考核体系的构建 Δ

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吴颖其 ，张圣雨 ，殷 桐 ，伍章保 ，朱 斌 ，沈爱宗 [1.中国科学技术大学附属第一医院（安徽省立医院）药
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剂科，合肥 230001；2.上海士迈特企业管理咨询有限公司，上海 200000]
中图分类号 R95 文献标志码 A 文章编号 1001-0408（2021）18-2184-06
DOI 10.6039/j.issn.1001-0408.2021.18.02
摘 要 目的：为充分激发临床药师的工作积极性、进一步推进三级公立医院绩效考核（简称“国考”）战略目标提供参考。方法：
成立部门绩效考核小组，采用文献检索法和专家咨询法，构建了由4个一级指标和9个二级指标组成的关键绩效指标体系，建立业
绩分数和绩效分数双重考核的绩效分配方法，并形成绩效公示和反馈机制。收集相关数据，比较 2019 年 4－12 月（实施前）与
2020年4－12月（实施后）我院临床药师核心工作指标和抗菌药物使用强度、基本药物使用达标情况等。结果：对比绩效考核方案
实施前后，临床药师的用药建议总数从实施前的 1 192 条增至实施后的 5 226 条，增幅达 338.42％；用药建议接收数从 846 条增
至 4 855条，增幅达473.88％；用药建议接收率从70.97％增至92.90％；药学会诊开展数量从195次增至1 284次，增幅达558.46％；
用药咨询数从1 203次增至2 719次，增幅达126.02％；2020年4－12月完成患者安全用药评估表660份；13名临床药师所在临床
科室抗菌药物使用强度在绩效考核方案实施后均有不同程度下降，下降率为92.31％（12/13），达标率为69.23％（9/13），11个临床
药师所在临床科室门诊患者基本药物使用率实现了正增长，2 个临床药师所在临床科室住院患者基本药物使用率实现了正增
长。结论：我院制定的临床药师绩效考核体系将“国考”指标与临床药师绩效考核挂钩，可为三级公立医院绩效考核提供思路，有
助于促进医院药学服务高质量、可持续发展。
关键词 临床药师；公立医院；绩效考核；关键绩效指标；药学服务

Construction of Clinical Pharmacist Performance Appraisal System under the New “National
Examination”Situation
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WU Yingqi ，ZHANG Shengyu ，YIN Tong ，WU Zhangbao ，ZHU Bin ，SHEN Aizong [1. Dept. of Pharmacy，
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the First Affiliated Hospital of USTC（Anhui Provincial Hospital），Hefei 230001，China；2. Shanghai SMART
Consulting Co.，Ltd.，Shanghai 200000，China]
ABSTRACT OBJECTIVE：To provide reference for mobilizing the work enthusiasm of clinical pharmacists，and further
promoting the strategic objectives of performance appraisal in three-level public hospitals （“National examination”for short）.
METHODS：A department performance appraisal team was established，and a key performance indicator system consisting of 4
first-level indicators and 9 second-level indicators was constructed by using literature retrieval and expert consultation. The
performance distribution method of double assessment of performance score and performance score was established，and a
performance publicity and feedback performance mechanism was formed. Relevant data were collected to compare the core work
indicators of clinical pharmacists，use intensity of antibiotics，compliance rate of essential drugs in our hospital from Apr. to Dec.
2019（before implementation）and Apr. to Dec. 2020（after implementation）. RESULTS：After the implementation of performance
appraisal scheme，the total number of medication recommendations of clinical pharmacists increased from 1 192 to 5 226，with an
increase of 338.42％；the number of medication suggestions received increased from 846 to 4 855，with an increase of 473.88％；
and the rate of drug suggestions received increased from 70.97％ to 92.90％；the number of pharmaceutical consultation increased
from 195 to 1 284，with an increase of 558.46％；the number of drug counseling increased from 1 203 to 2 719，increasing by
126.02％ . Form Apr. to Dec. 2020，the number of patient safety medication evaluation forms reached 660. The antibiotics use
density（AUD）in clinical departments of 13 clinical pharmacists were decreased to different extent after the implementation of
performance appraisal scheme，the decine rate was 92.31％（12/13），and the compliance rate was 69.23％（9/13）；utilization rate
of essential medicine among outpatients of 11 clinical pharmacists’clinical departments had achieved positive growth，and those
among inpatients of 2 clinical pharmacists’clinical departments had achieved positive growth. CONCLUSIONS：The performance
appraisal system of clinical pharmacists formulated by our hospital links the“National examination”index with the performance
appraisal of clinical pharmacists，which can provide ideas for
Δ 基金项目：安徽省高等学校省级质量工程项目（No.2018jyxm0749，
the performance appraisal of three-level public hospitals and
No.2018sxzx57，No.2020jyxm2328，No.2020jyxm2307）
＊ 副 主 任 药 师 ，硕 士 。 研 究 方 向 ：临 床 药 学 。 电 话 ：0551- help to promote the high-quality and sustainable development
62283341。E-mail：wyq0551@126.com of hospital pharmaceutical care.
# 通信作者：主任药师，硕士生导师。研究方向：医院管理、临床 KEYWORDS Clinical pharmacist；Public hospital；Perfor-
药学、药物经济学。 电话：0551-62283008。E-mail：1649441800@qq. mance appraisal；Key performance indicators；Pharmaceutical
com care

·2184 · China Pharmacy 2021 Vol. 32 No. 18 中国药房 2021年第32卷第18期