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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 establish a hospital management model based on index system. Methods: To establish a three-tier organizational structure, the use of key performance indicators (KPI) assessment methods, respectively, outpatient and inpatient settings for intravenous drug control indicators and observational indicators, with the help of hospital information system, the completion of clinical department indicators to monitor and analyze , And the use of pharmaceutical, management tools for effective regulation. Results: The rate of venous administration in December 2015 was 89.00% in December 2015 (68.00%), and the difference was statistically significant (P <0.05). In 2015, both the inpatient and outpatient intravenous drug control indicators showed a significant improvement over 2014. Conclusion: The management mode of hospital intravenous medicine based on the index system can effectively reduce unnecessary intravenous drugs and promote the rationalization of intravenous drugs.