静脉用药调配中心绩效考核方案优化及控制体系实施效果评价  

Optimization of PIVAS Work Performance Assessment Plan and Evaluation of the Implementation Effect of the Control System

作　　者：胡小芸 姚琦 张志清[1] 王明兴 陈米林 王加座 肖壮 HU Xiaoyun;YAO Qi;ZHANG Zhiqing;WANG Mingxing;CHEN Milin;WANG Jiazuo;XIAO Zhuang(The First People's Hospital of Yunnan Province·Affiliated Hospital of Kunming University of Science and Technology,Kunming,Yunnan,China 650032)

机构地区：[1]云南省第一人民医院·昆明理工大学附属医院,云南昆明650032

出　　处：《中国药业》2025年第3期14-18,共5页China Pharmaceuticals

基　　金：云南省第一人民医院临床医学研究中心开放项目[2023YJZX-YX11,2023YJZX-YX27]。

摘　　要：目的优化静脉用药调配中心(PIVAS)的绩效考核方案,并评价其实施效果。方法建立以调配分值和调配数量(袋)各占50%的工作量计算方法的新绩效考核方案(简称新方案)及相关控制措施。以新方案实施前(2022年5月至9月)为对照组,以新方案实施后(2023年5月至9月)为观察组,比较两组的工作量排名;以第1批次输液出科时间,差错、违规操作频次等指标评价新方案的效果;比较两组PIVAS药师对绩效方案的评价和满意度。结果观察组工作量低于下限控制的工作量人次明显少于对照组(P<0.01);观察组药师对绩效方案的满意率为97.44%,明显高于对照组的82.50%(P<0.05);观察组第1批次输液出科时间较对照组平均提前了约10 min;观察组的平均月差错为(8.00±4.36)条,明显少于对照组的(15.60±4.98)条(P<0.05),调配操作符合要求。结论调配分值和调配数量(袋)相结合的计算方法更适宜PIVAS的工作量计算,完善的控制措施能更好地保障绩效方案的公平和客观性,提高PIVAS工作的效率及质量。Objective To optimize the performance assessment methods of the pharmaceutical intravenous administration service(PIVAS),and to evaluate its implementation effect.Methods The new performance evaluation plan(referred to as the new plan)and related control measures were established based on a workload calculation method that combined the configuration difficulty score of drug dispensing(account for 50%)and the quantity(bag)of dispensing infusion(account for 50%).The workload ranking between the control group(before the implementation of the new plan,from May to September 2022)and the observation group(after the implementation of the new plan,from May to September 2023)was compared.The effectiveness of the new plan was evaluated based on indicators such as the time when the first batch of infusion left PIVAS,and the frequency of errors and violations.The PIVAS pharmacists'evaluation and satisfaction with the new plan in the two groups were compared.Results The number of people whose workload below the lower limit control in the observation group was significantly fewer than that in the control group(P<0.01).The pharmacists'satisfaction rate with the new plan in the observation group was 97.44%,which was significantly higher than 82.50% in the control group(P<0.05).The first batch of infusion in the observation group left PIVAS about 10 min earlier than that in the control group on average.The average monthly error in the observation group was(8.0±4.36)items,which was significantly fewer than(15.60±4.98)items in the control group(P<0.05),and the adjustment operation at work could meet the requirements.Conclusion The calculation method combining the configuration difficulty score of drug dispensing and the quantity(bag)of infusion dispensing is more suitable for calculating the workload of PIVAS,the improved control measures can better ensure the fairness and objectivity of performance assessment methods,and improve the efficiency and quality of PIVAS work.

关 键 词：静脉用药调配中心 绩效考核方案 工作量计算 调配数量 调配分值 控制措施 效果评价 

分 类 号：R95[医药卫生—药学]