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OBJECTIVE To provide reference for improving the work efficiency of staff and promoting the discipline construction of pharmacy department. METHODS By analyzing the current situation of performance management in the pharmacy department of our hospital， the key successful factors were sorted out， strategic decoding was carried out and key performance indicators were extracted. The quarterly and annual performance appraisal forms were formulated for the departments of pharmacy warehouse， outpatient pharmacy， ward pharmacy， clinical pharmacy department， prescription examination center， laboratory and other departments； the performance management information platform was built. The work efficiency and output of each department were compared half a year before and after the implementation of the performance management plan. RESULTS After the implementation of the program， the average queuing time for drug collection in the outpatient department was shortened from 5 minutes to 3 minutes， the average number of dispensing infusion bags per hour in the pharmacy intravenous admixture services increased from 50 bags to 60 bags， and antibacterial use density of the hospital decreased from 42.7 DDD（defined daily doses） to 40.2 DDD. The number of academic papers published had increased from 8 to 10， and the satisfaction of clinical departments with ward pharmacies increased from 85% to 95%. CONCLUSIONS The performance management system has been successfully established in pharmacy department of our hospital， which can improve the enthusiasm of pharmacists， reflect the value of pharmaceutical care， and promote the discipline construction of pharmacy.
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OBJECTIVE To provide reference for improving work efficiency and promoting the rapid development of pharmacy department. METHODS AB working system was established in pharmacy department， and task division and working process were formulated. The response time of role B， management performance， the construction of discipline platform， scientific research achievements and other indexes were analyzed comparatively before （2016-2020） and after （2021） the implementation of AB working system. RESULTS Compared with before the implementation， the response time of role B was shortened to 0.5 h； the score of management performance was increased from 27.67 to 73.00； scientific research projects， SCI papers and discipline construction funds had increased significantly after the implementation. CONCLUSIONS The practice of AB working system should shorten the response time and be beneficial to build a high-quality management personnel， improve the management level and work efficiency， promote rapid development of pharmacy department.
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OBJECTIVE： To provide reference for improving emergency capacity of the hospital pharmacy department in response to the novel coronavirus pneumonia （COVID-19） epidemic. METHODS ：According to the related regulations and requirements of Law of the People ’s Republic of China on the Prevention and Control of Infectious Diseases ，combined with the situation of COVID- 19 epidemic prevention and control ，and management experience of relevant hospitals ，on the basis of in-depth analysis of drug supply and quality assurance ，drug dispensing management ，provision of clinical pharmaceutical services and other related material support of hospital pharmacy department，integrated emergency management model was constructed for COVID- 19 epidemic prevention and control ，and the precautions and response measures of each link were sorted out. RESULTS ：Integruted emergency management mode for COVID-19 epidemic prevention and control in hospital pharmacy department included but was not limited to human resource management，drug and disinfection products supply management （mainly including key treatment drugs and disinfection product list formulation，control，inventory increase ，etc.）；drug dispensing management （mainly including prescription ，pharmacy window ， planning quantitative reserve ， drug return ， etc.）；clinical pharmaceutical care management （mainly including providing pharmaceutical information support ，online pharmaceutical service ，monitoring drug safety ，etc.）；personnel protection and disinfection （mainly including personnel protection ，environment and window ，equipment and container ，paper prescription disinfection，etc.）；special management of donated drugs ；prevention and control knowledge training ；pharmaceutical education and scientific research management ，etc. CONCLUSIONS ：The integrated emergency management model for epidemic prevention and control is helpful for hospital pharmacy to manage public health emergencies. During the outbreak of COVID- 19，hospital pharmacy department should start integrated emergency management mode for epidemic prevention and control ，strengthen the risk control of each link ，and play a good role in the key functional departments in the special period.
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In view of the expansion of workforce and campus of the pharmacy department, an institutional WeChat account is built to optimize management and communication efficiency, and to achieve flat and fine management mode.Such an account, developed by both third parties and independent means, serves as the mobile officing platform for the department.This platform spans two campuses and covers all the staff in real time, not only raising management efficiency but also building another communication channel among the staff.
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Objective To provide a reference for optimizing pharmacy human resources allocation in military hospitals in a region .Methods Data of pharmacy human resources of 15 military hospitals in a region were collected from 2 pharmacy re-sources investigations of military hospitals in 2006 and 2013 .For comparison analysis on the changes of pharmacy human re-sources in regional military hospitals in 8 years during 2001-2005 and 2010-2012 ,15 military hospitals were divided into 3 groups according actual beds number ,as 399 beds or less ,400-600 beds ,1000 beds above .Results 2010-2012 ,the average annual growth rate of pharmacy human resources was 7 .11% in 1000 beds above group ,5 .05% in 400-600 beds group ,and 2 .28% in 399 beds or less group .It was showed that the changes of pharmacy human resources had grown trend since 2005 . But the average annual growth rate of pharmacy human resources was much lower than the average annual growth rate of hospi-tal outpatient .Pharmacy human resources with high educational background or high title were concentrated in 1000 beds above group .Half of the staff had bachelor's degree in all groups .The incoming staffs were basically with junior title or intermediate title since 2005 .Conclusion Pharmacy staff accounted for the low proportion of medical technicians ,and per capita workload increased every year in pharmacy department .So pharmacy human resources should be increased .Dispensing ,preparation ,as traditional posts ,and pharmacy intravenous admixture ,clinical pharmacy ,as new posts competed pharmacy human resources . So the human resources needs of the development of clinical pharmacy should be rationally controlled .The distribution of high-level human resources in regional military hospitals shows more concentrated ,which should be a holistic approach to optimize the layout of pharmaceutical human resources .
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OBJECTIVE:To provide reference for development of hospital pharmacy and clinical pharmacy in south Sichuan. METHODS:Questionnaire was used to investigate the general situation of secondary and tertiary hospitals in 4 cities of south Sich-uan in aspects of partition layout,staffing situation and job content. The results were statistically analyzed. RESULTS:A total of 40 questionnaires was sent out,35 were effectively received with the effective rate of 87.50%. The partition layout was unreasonable in most surveyed hospitals,and the rate of reaching the standard about the area of drug dispensing sector and warehouse was below 85%. There were 1042 pharmacists in 35 hospitals,which were mainly female of younger than 45 years old. In secondary and ter-tiary hospitals,the rate of pharmaceutical professional and technical personnel of health technology,full-time undergraduate and vice-high above title accounted for 4.78% and 3.67%,17.37% and 31.27%,3.15% and 10.73%,respectively. The number of full-time clinical pharmacists was 24 and 69 in secondary or tertiary hospitals,mainly primary title,middle title and undergradu-ate,of whom 26(27.96%)passed job training of National Health and Family Planning Commission,4(4.30%)passed teaching qualifications training. The rate of pharmacists mainly engaged in drug dispensing and clinical pharmacy was 6.32% and 11.03% in secondary and tertiary hospitals,respectively. CONCLUSIONS:The research shows irrationality of partition layout,the shortage of highly educated and highly titles personnel,especially the clinical pharmacy professionals. The large differences exist in hospitals of different levels in several aspects,and the main body of hospital pharmacy should turn to clinical pharmacy.
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OBJECTIVE:To provide reference for improving the rationality of the personnel of pharmacy department and pro-moting the development of related pharmacy work in hospitals of Bengbu. METHODS:Questionnaire was designed to investigate and statistically analyze the general situation of secondary and tertiary hospitals in Bengbu in aspects of personnel,dispensing work-load and post setting,suggestions were put forward. RESULTS:Totally 13 questionnaires were sent out,10 were effectively re-ceived with the effective rate of 76.9%. The average proportion of investigated pharmacy staff to the whole health technical workers was 5.0%;primary pharmacist was 39.0%,chief pharmacist was 2.2%;college education was 44.9%,master degree or above was 3.0% ;the average daily prescription volume of outpatient was 375,daily trips of inpatient department was 267;4.4% of the staff were engaged in clinical pharmacy,only 4 hospitals carried out clinical pharmacy work;only 1 hospital had the Pharmacy Intrave-nous Admixture Service (PIVAS). CONCLUSIONS:The hospital pharmacy personnel configuration is not reasonable in Bengbu, dispensing is overloaded,the development of PIVAS is lagging behind,clinical pharmacy work remains to be further improved. It is suggested to promote the work of hospital pharmacy by increasing the numbers of pharmacy personnel,technical titles and practi-cal skills of the pharmacy staff,strengthening the construction of PIVAS and the cultivation of clinical pharmacists according to the condition.
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OBJECTIVE: To explore service model of inpatient pharmacy department for clinical department after medical reform and let the common pharmacists playing an active role. METHODS: "Responsible Pharmacists System" had built. Every pharmacists in the inpatient pharmacy department is responsible for several clinical departments. They communicate with doctors, nurses and patients regularly and solve the problems timely. They also guild the medication of patients and do pharmaceutical knowledge training for the nurses. RESULTS: A good interaction relations between inpatient pharmacy department and clinical department had built. The patients know more about the pharmacists and the workload of the doctors and nurses is reduced. It could also improve pharmacy service level and promote self-enhancement of the pharmacists. CONCLUSION: This service model is affirmed by both the medical staff and the patients, and provides more active pharmacy service for medical staff and patients. It could provide a new model for hospital pharmacy service.
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OBJECTIVE:To guide the formulation of emergency management plan for pharmacy department and reduce emer-gency risk. METHODS:By the methods of risk integration,considering the frequency and severity of the hazard events,the risk integral value of emergency events was calculated and hazard level was judged. RESULTS:The top three hazard events of pharma-cy department were information system failures (75.21),fire (63.00) and cytotoxic drugs overflow (62.21). All of the above events were moderate risk. According to the results of this evaluation,pharmacy department targeted emergency drills,in order to improve the ability to cope with risks. CONCLUSIONS:In order to improve the ability of facing and dealing hazard events,disas-ter vulnerability analysis is the base of developing and exercising emergency plans.
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OBJECTIVE:To provide reference for the application of position number in the pharmacy drug management. METHODS:Three-dimensional coding method was used for coding the position number. The mentioned method was combined with hospital information management system (HIS) for the out of storage,deployment and inventory. Memory field assumptions method was used to compare the size of field memorized by pharmacist in inpatient pharmacy before and after management of posi-tion number. Sampling controlled trial was conducted to compare the drugs deployment time and walking distance of pharmacists in inpatient pharmacy and drug storehouse before and after coding management of position number. RESULTS:After management of coding management in inpatient pharmacy,the memory required field was decreased from 1 028 to 25,deployment time of pharma-cists was decreased from(36.57±0.82)min to(24.20±0.33)min,and the walking distance was decreased from(79.17±0.29)m to(38.59±0.56)m. After management of coding management in drug storehouse,deployment time of pharmacists was decreased from(61.86±0.44)min to(47.18±0.63)min,and the walking distance was decreased from(129.53±0.58)m to(68.97±0.32) m. CONCLUSIONS:The drug coding management of position number can improve the deployment efficiency and reduce the brain and physical quantity of pharmacists.
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Medication turnaround time is defined as the interval from the time a medication order is written (manually or electronically) to the time the medication was administered. Monitoring medication turnaround time in inpatient settings allows organization to measure the impact of their efficiency of patient care. Objective: To trace the delays in the order and delivery system of In-patient pharmacy and check the average total time consumed in delivering drugs and medical consumables to the patients. Method: A time motion study was done in the in- patient pharmacy at a multi specialty hospital in Jaipur. A sample size of 300 indents was taken by using nonprobability convenient sampling method. Out of 300 indents, 56.6% were normal indents, 26.6% were new admission indents and 16.6% were urgent indents. Both primary and secondary data has been used in the study. The secondary data was obtained from the track care software, which was used in the pharmacy. SPSS and Microsoft excel was used for data analysis. Results: The study found that 25.2% of the normal indents, 48.7% of the new admission indents and 60% of the urgent indents were delayed. In addition, the average time taken to deliver normal indent was found to be 1hour 8 minutes, for new admission indent it was 48 mins and for urgent indent it was 1hr 20 minutes i.e. more than the normal indent and new admission indent. It was also found that the peak hours of the indent order were 10:00 pm to 12:00 am, also the peak hours of indent order and the availability of work force at that time was contradicting. The average number of indents per day was found to be 1224. Conclusion: Through this study, we were able to identify various points of delays, which were occurring in delivering indents to the patients. The results of the study revealed that all types of indents were delayed; especially urgent indents also got delayed, which became the major area of concern. In addition, if hospital follows indenting practices by the nursing staff, than the training for nursing staff is essential requirement regularly, to overcome this problem. The results of the study will definitely benefit in improving TAT of the pharmacy indents and most importantly the patient care.
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OBJECTIVE: To facilitate automatization in pharmacy of inpatient departments and promote the management level and quality of pharmaceutical service.METHODS: The transformation of operation mode and administration mode were observed after developing automatization in the inpatient pharmacy departments.RESULTS & CONCLUSIONS: The intelligent location storage and auto single-dose dispenser were combined with electronic information transmission technology to facilitate the automatization of inpatient pharmacy.The dispensing process of inpatient pharmacy is optimized and improved and standardized management of drugs is consummated.The efficiency and accuracy of the dispensing of tablets and injections are improved.Error rates of drug dispensary and costs of storage are cut down.Labor intensity and the number of staff are also reduced and the quality of pharmaceutical service in the inpatient pharmacy departments is upgraded roundly.
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OBJECTIVE: To provide reference for the development of pharmaceutical research in pharmacy department of stomatology hospital.METHODS: SWOT analysis was applied to analyze advantage,disadvantage,opportunities and threats of the development of pharmaceutical research in pharmacy department of our hospital.The development strategy of pharmaceutical research was investigated based on current research work.RESULTS: The advantages were fruitful oral disease resources and high informationization degree,etc.The disadvantages were weak hardware and non-professional scientific researchers,etc.The opportunities were that research was guaranteed by law and oral preparations were required in the clinic.The threats were that the situation of preparations development was serious.CONCLUSIONS: Pharmacy department should take internal advantage and external opportunities to develop pharmaceutical research in line with local conditions.
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OBJECTIVE: To establish the performance appraisal-based personal income allocation system in hospital pharmacy so as to motivate personnel's working enthusiasm.METHODS: A performance appraisal system was established in view of the working demands of pharmacy department.The performance income of each member was decided based on the result of performance appraisal as well as the income of the department,working hours,professional title and occupational risks etc,and then the personal Income was calculated using Excel table.RESULTS: The performance appraisal-based personal income allocation system in hospital pharmacy has greatly motivated personnel's working enthusiasm,facilitated the management in pharmacy department and transparency of personal income.CONCLUSIONS: It is feasible to adopt performance appraisal for a scientific management of pharmacy department.
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OBJECTIVE:To provide references for hospital pharmacy's culture construction. METHODS: To analyze and pondered over the practice of culture construction in pharmacy department of our hospital. RESULTS: With the organizational culture construction, cohesive force and innovative spirit of our staffs had been improved significantly. CONCLUSION: Organizational culture construction is indispensable for the development of hospital pharmacy.
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OBJECTIVE: To study the feasibility of conducting hospital pharmaceutical inspection by pharmacy pharmaceutical management group.METHODS: The experience of conducting hospital pharmaceutical inspection including monitoring the drug control in clinical departments,supervising the drug control in pharmacy department and monitoring rational use of drugs was introduced.RESULTS & CONCLUSIONS: Pharmaceutical inspection promoted drug management in pharmacy and clinical departments,improved the rational use of drugs,and strengthened the relationship between pharmacy and clinical departments,which deserves to be popularized.
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OBJECTIVE: To construct a structuralized training system in pharmacy department so as to enhance the core competitiveness in pharmacy.METHODS: The methods and procedures of constructing structuralized training system including alyzing training requirement,setting training goal,making training plan,putting the training plan into practice,evaluating and feedbacking in pharmacy department were introduced in detail.RESULTS: This system can help find the new training demands,contribute the continuity of training activities in pharmacy department and continuously improve the training system.CONCLUSION: The established structuralized training system in pharmacy department is practicable and it can guarantee scientific,orderly and standard running of the training work.
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OBJECTIVE:To establish and carry out total quality management and evaluation system in hospital pharmacy. METHODS: The background and the implementation steps of the total quality management in hospital pharmacy were analyzed and summarized. RESULTS: Seven steps were included in total quality management of hospital pharmacy, i.e. role shifting of drug control room, transpositional thinking, orientation defining, network construction of quality management, improvement of quality management regimen, fusion of quality management with the construction of department culture. CONCLUSIONS: The practice of the new model of the total quality management in hospital pharmacy has contributed to the preliminary establishment of the quality evaluation standard for dispensing as well as the forming of the total quality control system in hospital pharmacy and the upgrading of the scientific management in hospital pharmacy.
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This article discusses in detail the essential factors, the features and the formation of three basic systems of pharmaceutical work in a hospital. The scientific research, organization and management, as well as command and dispatch are performed in hospital Pharmacy by means of the systematic method. Finding out the weak links in pharmaceutical work, speeding up the formulation of policies, executing a scientific management and keeping a good usual conduct can help us make the pharmaceutical work standardized, routinized and scientific.