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·药事管理·
新形势下三级公立医院药学部绩效管理体系的构建
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王晓兰 ,潘 杰 ,代 晶 ,葛 意 ,陈 庚 ,施爱明 [1.苏州大学附属第二医院药学部,江苏 苏州 215000;
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2.壹正医院管理发展(北京)中心,北京 100020]
中图分类号 R95 文献标志码 A 文章编号 1001-0408(2024)02-0129-05
DOI 10.6039/j.issn.1001-0408.2024.02.01
摘 要 目的 为药学部提高药师工作效率、促进学科建设提供参考。方法 分析我院药学部的绩效管理现状,梳理关键成功因子
并进行战略解码,提取关键绩效指标,制定药库、门诊药房、病区药房、临床药学部、审方中心、实验室等部门的季度和年度绩效考
核表及药学部绩效分配方案,搭建绩效管理信息化平台;比较绩效管理方案实施前后半年各部门的工作效率和成果产出。结果
新的绩效管理方案实施后,我院门诊取药平均排队时间由5 min缩短至3 min,静脉药物调配中心平均每小时调配输液袋数由50
袋增至60袋,全院抗菌药物使用强度由42.7 DDD(限定日剂量)降至40.2 DDD,发表的学术论文数由8篇增至10篇,临床科室对
病区药房满意度由85%提高至95%。结论 我院药学部成功构建了绩效管理体系,该体系可提高药师工作积极性,体现药学服务
价值并促进药学学科建设。
关键词 公立医院;药学部;绩效考核;关键绩效指标
Construction of performance management system for pharmacy department of tertiary public hospitals
under new situation
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WANG Xiaolan ,PAN Jie ,DAI Jing ,GE Yi ,CHEN Geng ,SHI Aiming [1. Dept. of Pharmacy, the Second
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Affiliated Hospital of Soochow University, Jiangsu Suzhou 215000, China;2. Yizheng Hospital Management
and Development (Beijing) Center, Beijing 100020, China]
ABSTRACT OBJECTIVE To provide reference for improving the work efficiency of staff and promoting the discipline
construction of pharmacy department. METHODS By analyzing the current situation of performance management in the pharmacy
department of our hospital, the key successful factors were sorted out, strategic decoding was carried out and key performance
indicators were extracted. The quarterly and annual performance appraisal forms were formulated for the departments of pharmacy
warehouse, outpatient pharmacy, ward pharmacy, clinical pharmacy department, prescription examination center, laboratory and
other departments; the performance management information platform was built. The work efficiency and output of each department
were compared half a year before and after the implementation of the performance management plan. RESULTS After the
implementation of the program, the average queuing time for drug collection in the outpatient department was shortened from 5
minutes to 3 minutes, the average number of dispensing infusion bags per hour in the pharmacy intravenous admixture services
increased from 50 bags to 60 bags, and antibacterial use density of the hospital decreased from 42.7 DDD(defined daily doses) to
40.2 DDD. The number of academic papers published had increased from 8 to 10, and the satisfaction of clinical departments with
ward pharmacies increased from 85% to 95%. CONCLUSIONS The performance management system has been successfully
established in pharmacy department of our hospital, which can improve the enthusiasm of pharmacists, reflect the value of
pharmaceutical care, and promote the discipline construction of pharmacy.
KEYWORDS public hospitals; pharmacy department; performance appraisal; key performance indicators
公立医院是实现医疗服务高质、高效发展的主力 的必然选择。2019 年 5 月,《国家三级公立医院绩效考
军。实施公立医院绩效考核是医院高质量可持续发展 核操作手册(2019版)》发布,后于2020、2022年进行了2
Δ 基金项目 苏州市科技发展计划(医疗卫生科技创新-医学创新 次修订。《国家三级公立医院绩效考核操作手册(2022
应用研究)指导性项目(No.SKYXD2022021) 版)》(以下简称“2022 年版国考手册”)涵盖了 4 个维度
* 第一作者 主 管 药 师 。 研 究 方 向 :临 床 药 学 。 E-mail:
56个指标,药学部绩效管理考核是其中的重要组成部分
lanzi0415@126.com
之一,指标包括合理用药相关指标(如点评处方占总处
# 通信作者 主任药师,硕士。研究方向:药动学、药事管理。
E-mail:sam740411@163.com 方数的比例、抗菌药物使用强度等)、费用控制指标(如
中国药房 2024年第35卷第2期 China Pharmacy 2024 Vol. 35 No. 2 · 129 ·