基于指标体系设置的医院静脉用药管理模式构建

Establishment of Hospital Intravenous Drug Use Management Model Based on Index System Construction

目的:构建基于指标体系设置的医院静脉用药管理模式。方法:建立三级组织构架,采用关键业绩指标(KPI)考核办法,分别对门诊和住院患者设置静脉用药控制性指标和观察性指标,借助医院信息系统,对临床科室指标完成情况进行监测和分析,并采用药学、管理手段进行有效监管。结果:医院静脉用药管理模式的实践,2015年12月医院静脉用药医嘱合理率(89.00%)高于2014年12月(68.00%),差异有统计学意义(P<0.05)。2015年住院及门诊静脉用药管控指标较2014年均有明显改善。结论:基于指标体系设置的医院静脉用药管理模式可有效减少不必要的静脉用药,促进静脉用药合理化。

Objective： To construct the management model for intravenous drug use based on index system in a hospital. Meth- ods ： A three-level organizational framework was established, the KPI assessment method was used to set control index and observational index respectively for outpatients and inpatients. The completion of the clinical department indicators were monitored and analyzed with the help of the hospital information systems, and regulated by pharmacy and management tools. Results： After the application of the hospital intravenous drug use management model, the qualification rate of intravenous medication orders was improved in December 2015 （89%） when compared with that in December 2014 （68 % ）, and the difference was statistically significant （P 〈 0.05 ）. The in- dices of intravenous drug use of inpatients and outpatients in 2015 were significantly improved when compared with those in 2014. Con- clusion： The hospital intravenous drug use management model based on index system construction can effectively reduce unnecessary intravenous medication and promote the rationality of intravenous medication.