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医疗机构科室备用中药规范化管理指标体系的构建与应用
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| 篇名： | 医疗机构科室备用中药规范化管理指标体系的构建与应用 |
| TITLE： | Construction and application of the standardized management index system for traditional Chinese medicine reserved in the department of medical institutions |
| 摘要： | 目的 构建医疗机构科室备用中药全流程质量管理的指标体系，为科室备用中药的规范化管理提供参考。方法通过搜集、整理中药管理的相关法律法规、政策文件、团体标准、文献等资料，确定初始指标框架。采用德尔菲法对20位专家进行两轮函询，完善与优化指标体系。通过层次分析法构建判断矩阵获得指标权重，并将指标综合权重换算成百分制，对河北省中医药学专业质量管理与控制中心挂靠单位中有备用中药的14个科室进行评估。结果两轮函询的问卷回收率均为100%，专家权威系数为0.89。最终构建的科室备用中药的质量管理体系，涵盖管理方面（综合权重0.3663）、加工环节（综合权重0.1197）、储存环节（综合权重0.2917）、使用环节（综合权重0.2223）4项一级指标以及建立医院药品质量管理的组织机构、有专门针对临床科室备用药品的管理制度等24项二级指标，各级指标的肯德尔协调系数均通过一致性检验。应用该指标体系进行质控3个月后，医疗机构科室备用中药管理规范性平均得分由质控前的67.01分提升至质控后的85.15分。结论构建的指标体系可满足备用中药的规范化管理要求，覆盖了管理、加工、储存、使用全流程的闭环管理，可为医疗机构保证备用中药的精细化与规范化管理提供参考。 |
| ABSTRACT： | OBJECTIVE To establish a whole-process quality management index system for traditional Chinese medicine （TCM） reserved in the department of medical institutions， providing a reference for standardized management. METHODS An initial indicator framework was determined by collecting and analyzing relevant laws， regulations， policy documents， group standards， and literature on TCM management. Two rounds of Delphi expert consultation involving 20 experts were conducted to refine and optimize the indicator system. The analytic hierarchy process was used to construct judgment matrices and convert the indicator weights into a percentage-based system； an assessment was conducted on 14 departments with reserved TCM among the affiliated units of the Quality Management and Control Center for Traditional Chinese Medicine in Hebei Province. RESULTS The response rate for both rounds of consultation was 100%， with an expert authority coefficient of 0.89. The final quality management system of TCM reserved in the department included four first-level indicators： management （composite weight： 0.366 3）， processing （composite weight： 0.119 7）， storage （composite weight： 0.291 7） and usage （composite weight： 0.222 3）， and twenty-four second-level indicators， such as establishing an organizational structure for hospital drug quality management and having dedicated regulations for backup drugs in clinical departments. Kendall’s coefficient of concordance confirmed consistency across all levels of indicators. Based on the application of the indicator system for evaluation， the average score for the standardized management of reserved TCM in the department of medical institutions increased from 67.01 points to 85.15 points over three months. CONCLUSIONS The constructed indicator system meets the standardized management requirements for reserved TCM， enabling closed-loop management across the entire process of management， processing， storage and usage. It provides a reference for medical institutions to enhance the precision and standardization of reserved TCM management. |
| 期刊： | 2026年第37卷第01期 |
| 作者： | 唐贺；唐龙龙；鞠晓宇；唐有权；郭会领；关胜江 |
| AUTHORS： | TANG He，TANG Longlong，JU Xiaoyu，TANG Youquan，GUO Huiling，GUAN Shengjiang |
| 关键字： | 科室备用中药；质量管理；指标体系；德尔菲法；层次分析法 |
| KEYWORDS： | TCM reserved in the department； quality management； index system； Delphi method； analytic hierarchy process |
| 阅读数： | 78 次 |
| 本月下载数： | 0 次 |
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