目的 结合妇产科医院临床药学工作特色,构建一套行之有效的临床药师绩效考核体系。方法 按照PDCA循环管理法,设计调查问卷,调查本院临床药师对现有绩效管理的满意度,分析满意度不高的原因,并拟订措施、检查和落实。最后对实施PDCA循环前后的临床药师对绩效考核的满意度、年度关键绩效考核指标进行对比。结果 临床药师对现有绩效考核机制不满意率达62.5%,87.5%的临床药师认为修订绩效考核体系具有必要性。根据调研结果首先建立临床药师等级认定制度,并结合临床药学工作难易程度建立不同层级临床药师岗位职责。依据不同层级临床药师岗位职责设计临床药师绩效考核表,每月将绩效考核扣分项进行公布。经各项措施的实施,临床药师对新绩效考核的满意率为100%;年度关键考核指标如不良反应上报数量、参加多学科联合门诊、文章发表、课题立项及专利申请等较去年同期升高(P<0.001)。结论 运用PDCA循环管理法能改善临床药师的绩效考核管理模式,提高了临床药师工作效率和质量,促进了本院临床药学服务工作及科研水平的提高。

OBJECTIVE To establish an effective performance appraisal system for clinical pharmacists, based on the characteristics of clinical pharmacy work in obstetrics and Gynecology hospitals. METHODS According to the method of PDCA cycle, the satisfaction degree of clinical pharmacists for performance appraisals were investigated to find out the problems; the reasons were analyzed and countermeasures were made out, checked and implemented. Finally, the satisfaction degree of clinical pharmacists on performance appraisal and the annual key performance appraisal indicators were compared before and after the implementation of PDCA circulation. RESULTS The unsatisfactory rate of clinical pharmacists to the existing performance appraisal system was 62.5%. The 87.5% of clinical pharmacists believed that it was necessary to revise the existing performance appraisal system. According to the results of the investigation, the system of clinical pharmacists′ grade recognition is established first, and the responsibilities of clinical pharmacists at different levels are established according to the difficulty of clinical pharmacy work. According to the post responsibilities of clinical pharmacists at different levels, the performance appraisal forms of clinical pharmacists are designed, and the performance appraisal items are deducted monthly for publication. Through the implementation of various measures, the satisfaction rate of clinical pharmacists to the new performance appraisal was 100%. Annual key assessment indicators such as adverse reactions reporting, participation in multidisciplinary joint clinics, publication of articles, project establishment and patent application were higher than the same period last year(P<0.001). CONCLUSION The application of PDCA cycle management method can improve the performance appraisal management mode of clinical pharmacists, improve the efficiency and quality of clinical pharmacists, and promote the improvement of clinical pharmaceutical care and scientific research level in our hospital.