论文部分内容阅读
目的:配合医院的绩效考核管理,定量评价每份医嘱用药的合理性。方法:把常见的22条不合理用药项目,按照不合理权重的大小设定权重值,依照医嘱点评项目逐份点评病历,按照绩效考核评分标准,计算出各病区绩效考核分数,上报该考核分数并计入该病区的绩效考核总分中,报财务部按考核总分分配当月奖励工资。结果:2014年全年平均权重值为0.34,2015年全年平均权重值为0.21,明显低于2014年,两年用药基本合理。经过两年的用药点评与考核,医嘱用药合格率逐月提高,平均权重值逐月下降,全院医嘱用药的综合指标趋于合理。结论:用加权法点评用药合理性并配合绩效考核的评价体系可行,我院该工作模式已进入良性状态。
Objective: To cooperate with the hospital’s performance appraisal management, quantitatively evaluate the rationality of each prescription. Methods: The common 22 items of irrational use of drugs, according to the size of unreasonable weight set the weight value, according to the doctor’s point review items point review of medical records, in accordance with the performance appraisal scale, calculate the ward performance appraisal score, reported to the assessment Score and included in the ward’s performance evaluation of the total score, reported to the Ministry of Finance by the assessment of the total distribution of reward wages that month. Results: The average weight value for 2014 was 0.34, and the average weight value for 2015 was 0.21, significantly lower than that for 2014. The medication for two years was basically reasonable. After two years of review and evaluation of medication, the compliance rate of medical advice increased month by month, the average weight value decreased month by month, the hospital’s prescribed medication tends to be more reasonable. Conclusion: Weighted evaluation of drug use rationality and performance appraisal system is feasible. The work mode of our hospital has entered a benign state.