我国静脉用药集中调配中心绩效考核现状的文献分析

Literature analysis on the status quo of performance appraisal of pharmacy intravenous admixture services in China

目的 基于文献分析我国静脉用药调配中心(PIVAS)的绩效考核现状,为我国PIVAS实施绩效管理提供参考。方法 计算机检索中国知网、维普、万方、PubMed、Embase、the Cochrane Library、中国生物医学文献数据库等国内外数据库,检索时间为建库起至2022年9月,纳入评价我国PIVAS绩效考核现状的文献,对绩效考核措施、绩效考核指标、绩效考核成效等进行描述性分析。结果 共纳入12篇文献,其中前后对照研究8篇,经验分享4篇。10篇文献的绩效考核主体为PIVAS全体员工,2篇为护士。PIVAS绩效考核措施大致相同,主要包括工作量、工作质量(含差错)、临床服务满意度、劳动纪律、科内贡献、个人综合评价等方面的内容和指标,但主要核算比例有所不同。绩效考核指标主要包括医嘱审核速率、摆药速率、核对速率、调配速率、成品复核速率等。绩效考核成效主要包括工作效率提高,工作质量提升,差错率降低,临床满意度与员工满意度提高。结论 通过构建PIVAS绩效考核体系,采取相应绩效管理措施,可提高工作效率与工作质量,减少差错率,保障患者用药安全,促进我国PIVAS规范化管理。

OBJECTIVE To analyze the status quo of performance appraisal of pharmacy intravenous admixture services(PIVAS) in China based on literature analysis, and provide reference for the implementation of performance management of PIVAS in China. METHODS Retrieved from domestic and foreign databases such as CNKI, VIP, Wanfang, PubMed, Embase, the Cochrane Library and CBM, the literature on the status quo evaluation of performance appraisal of PIVAS in China was included from the inception to Sept. 2022. The descriptive analysis was carried out on performance appraisal measures, performance appraisal indicators, performance appraisal achievement, etc. RESULTS Twelve pieces of literature were included, involving 8before-and-after controlled studies and 4 experience sharing. The performance appraisal subjects of 10 pieces of literature were all staff and those of 2 pieces of literature were nurses. The measures of PIVAS performance appraisal were roughly the same, mainly involving contents and indicators of workload, work quality(including errors), clinical service satisfaction, labor discipline, department contribution, personal comprehensive evaluation, and so on, but the main accounting proportion was different.Performance appraisal indicators mainly included the rate of medical order review, dispensing rate, check rate, delivery rate, finished product review rate, etc. The performance appraisal achievement mainly included the improvement of work efficiency, the improvement of work quality, the reduction of error rate, and the improvement of clinical satisfaction and employee satisfaction.CONCLUSIONS By building performance appraisal system and adopting corresponding performance management measures of PIVAS, it can improve the work efficiency and quality, reduce the error rate, ensure the safety of patients’ medication, and promote the standardized management of PIVAS in China.