青岛大学附属妇女儿童医院多院区药事管理一体化模式的实践与成效探讨  

Discussion on the Practice and Eff ectiveness of the Integrated Model of Multidistrict Hospital Pharmacy Management in Women and Children's Hospital Affi liated to Qingdao University

作　　者：周冰花 闫美兴 刘畅[2] 杨越[2] 于宝东[2] 韩龙 李蓉 莫晓媚 Zhou Binghua;Yan Meixing;Liu Chang;Yang Yue;Yu Baodong;Han Long;Li Rong;Mo Xiaomei(Weifang Medical University,Weifang 261000,China;Women and Children's Hospital,Qingdao University,Qingdao 266000,China)

机构地区：[1]潍坊医学院,潍坊261000 [2]青岛大学附属妇女儿童医院,青岛266000

出　　处：《中国药事》2024年第3期351-359,共9页Chinese Pharmaceutical Affairs

基　　金：青岛市卫生健康政策研究课题(编号QDWJZCYJ2022-042);青岛市临床重点专科-医院药学(编号2022-2024-77)。

摘　　要：目的:探讨多院区药事管理一体化管理方法,为提升医院药事管理质量提供参考。方法:以“多院区一体化”管理理念为指引,通过“总院垂直化、分院扁平化”管理策略,建立药师人力资源管理一体化、药学信息管理一体化、药事质量控制一体化的多院区一体化药事管理模式,包括制定《积分制管理办法》和《科研管理办法》,统一宣传平台和管理平台,建立标准化的药事质量管理体系。结果:通过实施药师人力资源一体化管理模式,优化了各院区人员结构,提升了药师队伍水平,有效配置了药师资源,并拓展了教研工作;通过实施药学信息一体化管理模式,提高了科室凝聚力和学科知名度以及管理效能;通过实施药事质量控制一体化管理模式,降低了抗菌药物使用率和次均药费,提升了药物不良反应监测水平。结论:从药师、药学信息、药事质控3个方面实施一体化管理,药师资源实现了最大化利用,各院区信息实现互通共享,各院区药事质量的均一性得到保障,有效促进了医院多院区同质化和一体化发展。Objective:To investigate the integrated management approach to pharmacy management in multi-hospital districts,in order to serve as a model for improving hospital pharmacy management quality.Methods:The multi-district integrated pharmacy management model of integrated pharmacist human resources management,integrated pharmacy information management,and integrated pharmacy quality control was established through the management strategy of“verticalization of the main hospital and flattening of branch hospitals,”which was guided by the management concept of“multi-district integration.”It has developed the points system management approach and the management methods for research for managing pharmacist human resources,unifi ed the publicity and management platforms for managing pharmacy information,and established a standardized pharmaceutical quality management system for controlling pharmaceutical quality.Results:The staff structure of each hospital district has been optimized,the level of the pharmacist team has been improved,pharmacist resources have been allocated eff ectively,and teaching and research activities have been expanded thanks to the implementation of the integrated management model of pharmacist human resources;the deployment of an integrated management approach for pharmacy information has increased management eff ectiveness and strengthened departmental cohesion and disciplinary transparency;the rate of antibacterial drug use and average drug expenses have decreased,and the level of monitoring of adverse drug responses have improved thanks to the deployment of the integrated management model of pharmacy quality control.Conclusion:Pharmacist resources have been maximized,information has been shared among each hospital district and uniformity of pharmaceutical quality has been ensured thanks to the implementation of integrated management in three areas:pharmacies,pharmacy information,and pharmaceutical quality control.This has signifi cantly aided in the homogenization and integrated growth o

关 键 词：多院区 一体化管理 药事管理 药师人力资源管理一体化 药学信息管理一体化 药事质量控制一体化 积分制 科研管理办法 

分 类 号：R95[医药卫生—药学]