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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 ·
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