基于加权TOPSIS法的临床药师药学监护工作绩效考核评价

Performance Evaluation of Pharmaceutical Care for Clinical Pharmacists Based on Weighted TOPSIS Method

目的:为临床药师药学监护工作绩效考核评价提供依据。方法:在查阅相关文献的基础上,基于加权逼近理想解的排序方法(TOPSIS)制订临床药师药学监护工作绩效考核评价体系,并对2017年1月-2018年12月我院5名临床药师的120份药学监护工作绩效进行评价。结果:成功构建了临床药师药学监护工作绩效考核评价细则,包括药学查房、用药教育、用药咨询、药学会诊等方面,共计17项评价指标。120份绩效考核评价结果中,相对接近度>0.6的有21份(占比为17.5%),相对接近度在0.5~<0.6的有73份(占比为60.8%),相对接近度在0.4~<0.5的有26份(占比为21.7%)。主要存在临床药师参与多学科诊疗相对较少、科研基金项目立项不足、论文撰写不多等问题。结论:基于加权TOPSIS法制订的临床药师药学监护工作绩效考核评价体系规范合理,可以用于临床药师药学监护工作的绩效考核评价;评价结果提示我院临床药师药学监护工作存在部分缺陷,有待改进提高。

OBJECTIVE:To provide reference for performance evaluation of pharmaceutical care for clinical pharmacists.METHODS:Based on literature review,weighted TOPSIS method was used to formulate a performance evaluation system of pharmaceutical care.The performance of 120 pharmaceutical care work of 5 clinical pharmacists in our hospital from Jan.2017 to Dec.2018 was evaluated.RESULTS:The performance evaluation detailed rules of clinical pharmacists’pharmaceutical care work were successfully constructed,including pharmaceutical ward round,medication education,medication consultation and pharmacy consultation,with a total of 17 evaluation indicators.Among 120 cases,there were 21 cases with relative approach degree>0.6(17.5%);73 cases had relative approach degree between 0.5 and<0.6(60.8%);26 cases had relative approach degree between0.4 and<0.5(21.7%).The major problem was that the participation of clinical pharmacists in muti-disciplinary treatment,the approval of scientific research fund projects were insufficient and not much paper was written.CONCLUSIONS:The performance evaluation system of clinical pharmacists’pharmaceutical care work based on weighted TOPSIS method is normative and reasonable,and it can be used in the evaluation of clinical pharmacists’pharmaceutical care work.The results suggest that there are some defects in the performance of clinical pharmacists’pharmaceutical care work in our hospital,which need to be improved.