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州立精神病医院的药房人员配备、工作量及生产率基准

Pharmacy staffing, workload, and productivity benchmarks in state psychiatric hospitals.

作者信息

Smith Angela Black, Zoller James T, Schumock Glen T, Richards Ann L

机构信息

North Carolina Department of Health and Human Services, Division of State Operated Healthcare Facilities, Raleigh, NC

College of Health Professions, Medical University of South Carolina, Charleston, SC.

出版信息

Am J Health Syst Pharm. 2018 Apr 15;75(8):536-547. doi: 10.2146/ajhp170178.

Abstract

PURPOSE

Current benchmark statistics on staffing, workload, and productivity in hospital pharmacy departments of state psychiatric hospitals are described and assessed by hospital size.

METHODS

An electronic survey of state psychiatric hospitals was conducted. Hospitals were categorized based on number of occupied beds. Descriptive statistics using Student's tests, Pearson's chi-square tests, and Pearson's correlation coefficients were used to characterize the data and compare productivity by hospital size.

RESULTS

Responses were received from 41 of 116 hospitals, yielding a response rate of 35.3%. Respondent hospitals did not differ from nonrespondents based on demographic data. Average inpatient census, patient days per year, expenditures, and workload were found to correlate positively with hospital size ( = 0.381-0.991, < 0.05). Over 30% of hospitals reported using no indicators to monitor pharmacy productivity. Productivity ratios differed between very small-small and medium-large hospital groups: mean pharmaceutical expenditures per 100 occupied beds and per 1,000 patient days ( = 0.017 and 0.05, respectively), mean full-time equivalents (FTEs) per 1,000 doses dispensed or administered per month and per 100 occupied beds ( = 0.042 and 0.026, respectively), and mean pharmacist and technician FTEs per 100 occupied beds ( = 0.012 and 0.019, respectively).

CONCLUSION

A survey of pharmacies in state psychiatric hospitals provided metrics data on staffing, workload, and productivity that may be used as benchmarks in efforts to improve workforce efficiency, pharmaceutical care services, and financial performance.

摘要

目的

描述并按医院规模评估州立精神病医院药房的人员配备、工作量和生产率的当前基准统计数据。

方法

对州立精神病医院进行了电子调查。医院根据占用床位数进行分类。使用学生 t 检验、皮尔逊卡方检验和皮尔逊相关系数进行描述性统计,以表征数据并按医院规模比较生产率。

结果

116 家医院中有 41 家回复,回复率为 35.3%。根据人口统计数据,回复医院与未回复医院没有差异。发现平均住院患者普查、每年患者住院天数、支出和工作量与医院规模呈正相关(= 0.381 - 0.991,< 0.05)。超过 30%的医院报告未使用任何指标来监测药房生产率。非常小 - 小医院组和中 - 大医院组的生产率比率不同:每 100 张占用床位和每 1000 个患者住院天数的平均药品支出(分别为 = 0.017 和 0.05),每月每 1000 剂配发或给药的平均全职等效人员(FTE)和每 100 张占用床位的平均全职等效人员(分别为 = 0.042 和 0.026),以及每 100 张占用床位的平均药剂师和技术人员全职等效人员(分别为 = 0.012 和 0.019)。

结论

对州立精神病医院药房的调查提供了关于人员配备、工作量和生产率的指标数据,这些数据可用作提高劳动力效率、药学服务和财务绩效的基准。

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