Page 7 - 《中国药房》2026年1期
P. 7

·药事管理·


          医疗机构科室备用中药规范化管理指标体系的构建与应用
                                                                                                   Δ

                                                           1 #
                                  1
                          2
                                                   1
          唐 贺 ，唐龙龙 ，鞠晓宇 ，唐有权 ，郭会领 ，关胜江 （1.河北省中医院药学部，石家庄 050011；2.河北省中
                 1＊
                                          3
          医院设备处，石家庄 050011；3.华北医疗健康集团邢台总医院重症医学科，河北 邢台 054000）
          中图分类号  R95      文献标志码  A      文章编号  1001-0408（2026）01-0001-05
          DOI  10.6039/j.issn.1001-0408.2026.01.01

          摘  要  目的  构建医疗机构科室备用中药全流程质量管理的指标体系，为科室备用中药的规范化管理提供参考。方法  通过搜
          集、整理中药管理的相关法律法规、政策文件、团体标准、文献等资料，确定初始指标框架。采用德尔菲法对20位专家进行两轮函
          询，完善与优化指标体系。通过层次分析法构建判断矩阵获得指标权重，并将指标综合权重换算成百分制，对河北省中医药学专
          业质量管理与控制中心挂靠单位中有备用中药的14个科室进行评估。结果  两轮函询的问卷回收率均为100%，专家权威系数为
          0.89。最终构建的科室备用中药的质量管理体系，涵盖管理方面（综合权重0.366 3）、加工环节（综合权重0.119 7）、储存环节（综合
          权重0.291 7）、使用环节（综合权重0.222 3）4项一级指标以及建立医院药品质量管理的组织机构、有专门针对临床科室备用药品
          的管理制度等24项二级指标，各级指标的肯德尔协调系数均通过一致性检验。应用该指标体系进行质控3个月后，医疗机构科室
          备用中药管理规范性平均得分由质控前的67.01分提升至质控后的85.15分。结论  构建的指标体系可满足备用中药的规范化管
          理要求，覆盖了管理、加工、储存、使用全流程的闭环管理，可为医疗机构保证备用中药的精细化与规范化管理提供参考。
          关键词  科室备用中药；质量管理；指标体系；德尔菲法；层次分析法

          Construction  and  application  of  the  standardized  management  index  system  for  traditional  Chinese
          medicine reserved in the department of medical institutions

                                                                3
                   1
                                    2
                                               1
                                                                              1
          TANG He ，TANG Longlong ，JU Xiaoyu ，TANG Youquan ，GUO Huiling ，GUAN Shengjiang（1.  Dept.  of
                                                                                                 1
          Pharmacy，  Hebei  Province  Hospital  of  TCM，  Shijiazhuang  050011，  China；2.  Dept.  of  Equipment，  Hebei
          Province  Hospital  of  TCM，  Shijiazhuang  050011，  China；3.  Dept.  of  Critical  Care  Medicine，  Xingtai  General
          Hospital of North China Healthcare Group， Hebei Xingtai 054000， China）
          ABSTRACT   OBJECTIVE  To  establish  a  whole-process  quality  management  index  system  for  traditional  Chinese  medicine
         （TCM）  reserved  in  the  department  of  medical  institutions，  providing  a  reference  for  standardized  management.  METHODS  An
          initial  indicator  framework  was  determined  by  collecting  and  analyzing  relevant  laws，  regulations，  policy  documents，  group
          standards，  and  literature  on  TCM  management.  Two  rounds  of  Delphi  expert  consultation  involving  20  experts  were  conducted  to
          refine  and  optimize  the  indicator  system.  The  analytic  hierarchy  process  was  used  to  construct  judgment  matrices  and  convert  the
          indicator  weights  into  a  percentage-based  system；  an  assessment  was  conducted  on  14  departments  with  reserved TCM  among  the
          affiliated units of the Quality Management and Control Center for Traditional Chinese Medicine in Hebei Province. RESULTS The
          response rate for both rounds of consultation was 100%， with an expert authority coefficient of 0.89. The final quality management
          system  of  TCM  reserved  in  the  department  included  four  first-level  indicators：  management （composite  weight：  0.366  3），
          processing （composite  weight：  0.119  7），  storage （composite  weight：  0.291  7）  and  usage （composite  weight：  0.222  3），  and
          twenty-four  second-level  indicators，  such  as  establishing  an  organizational  structure  for  hospital  drug  quality  management  and
          having  dedicated  regulations  for  backup  drugs  in  clinical  departments.  Kendall’s  coefficient  of  concordance  confirmed  consistency
                                                             across  all  levels  of  indicators.  Based  on  the  application  of  the
             Δ 基金项目 河北省中医药管理局科研计划项目（No.2025216）              indicator  system  for  evaluation，  the  average  score  for  the
             ＊第一作者 主管药师，硕士。研究方向：临床药学、药事管理。E-
                                                             standardized  management  of  reserved  TCM  in  the  department
          mail：1021953998@qq.com
                                                             of  medical  institutions  increased  from  67.01  points  to  85.15
             # 通信作者 教授，博士生导师。研究方向：中药药理、药事管理。
          E-mail：903148032@qq.com                            points  over  three  months.  CONCLUSIONS  The  constructed


          中国药房  2026年第37卷第1期                                                  China Pharmacy  2026 Vol. 37  No. 1    · 1 ·
   2   3   4   5   6   7   8   9   10   11   12