Department of Pharmacy & Clinical Nutrition Services, Oregon Health & Science University, Portland, OR.
Am J Health Syst Pharm. 2019 Jun 18;76(13):992-997. doi: 10.1093/ajhp/zxz081.
To describe the methods used in the development of an intravenous chemotherapy workload and productivity dashboard and its impact on symptoms of burnout and technician turnover.
In February 2017, chemotherapy sterile preparation pharmacy technicians reported symptoms of burnout as a result of perceived increase in workload. In response, an i.v. chemotherapy workload and productivity dashboard was developed at an academic medical center to validate workload in comparison to the reported job stress of pharmacy technicians. The dashboard provided pharmacy leadership objective data to validate staff concerns and leveraged lean principles to level-load the work prior to requesting additional full-time equivalents (FTEs) to senior leadership. The rate of turnover of i.v. chemotherapy technicians was assessed before (December 2016-June 2017) and after (July 2017-January 2018) dashboard implementation and approval of an additional i.v. chemotherapy technician FTE. The addition of the new FTE resulted in a decrease in productivity from an average of 106% (range 67%-151%) to 84% (range 65%-110%). The interventions allowed for the ability to leverage a staffing-to-demand model, resulting in the observed improvement in technician symptoms of burnout and a notable decrease in the overall turnover rate of i.v. chemotherapy technicians.
The i.v. chemotherapy workload and productivity dashboard confirmed frontline staff perception and provided data to support the addition of labor resource and an opportunity to leverage a staffing-to-demand model to decrease symptoms of burnout and technician turnover.
描述开发静脉化疗工作量和生产力仪表板的方法及其对倦怠症状和技术人员离职率的影响。
2017 年 2 月，化疗无菌制剂药房技术人员报告称，由于工作量增加，出现倦怠症状。作为回应，在一家学术医疗中心开发了静脉化疗工作量和生产力仪表板，以与药房技术人员报告的工作压力进行比较，验证工作量。该仪表板为药房领导层提供了客观数据，以验证员工的担忧，并利用精益原则在向高层领导请求增加全职等效人员（FTE）之前平衡工作负载。在实施仪表板之前（2016 年 12 月至 2017 年 6 月）和之后（2017 年 7 月至 2018 年 1 月）评估了静脉化疗技术人员的离职率，并批准了额外的静脉化疗 FTE。增加新的 FTE 导致生产力从平均 106%（范围 67%-151%）下降到 84%（范围 65%-110%）。这些干预措施使我们能够利用人员配备到需求的模式，从而观察到技术人员倦怠症状的改善以及静脉化疗技术人员的总体离职率显著下降。
静脉化疗工作量和生产力仪表板证实了一线员工的看法，并提供了数据支持增加劳动力资源，并利用人员配备到需求的模式来减少倦怠症状和技术人员离职率。
