摘要
目的探讨PDCA循环法在某三级甲等医院抗菌药物临床应用管理中的实践情况及效果,并由此推广至其他医疗管理领域的可行性。方法通过PDCA循环法分阶段对抗菌药物临床应用情况进行持续改进,并对活动开展各阶段门急诊患者抗菌药物处方比例、住院患者抗菌药物使用率、抗菌药物使用强度、清洁切口手术患者预防使用抗菌药物比例等指标进行对比分析。结果按照PDCA循环管理法通过一系列具体持续改进措施,医院抗菌药物使用强度从74.89 DDDs/(100人·天)下降至34.90DDDs/(100人·天),门诊患者抗菌药物处方比例从20.00%下降至7.09%,急诊患者抗菌药物处方比例从60.00%下降至16.83%,住院患者抗菌药物使用率从69.20%下降至44.07%,清洁切口手术预防使用抗菌药物比例从100%下降至27.28%,接受抗菌药物治疗住院患者微生物检验样本送检率从16.71%提高至41.79%,均有显著改善,达到了原卫生部的要求。结论 PDCA循环管理法用于医院抗菌药物临床应用管理成效显著,可推广至其他医疗管理领域应用。
Objective To discuss the practice and effects of PDCA （Plan,Do,Check,Act） circulation in the management of anti-bacterial drug utilization in a Class-A and Tertiary hospital, and discuss the possibility of applying it in other medical management fields. Methods According to the PDCA circulation management method, the hospital carried out the specific work for continuous improvement, then compare and analyze the data of antimicrobial prescription proportion of outpatients and inpatients, the intensity of antibacterial drugs usage as well as the submission rate of microbial testing for in-patients before and after to evaluate the effect of the practice. Results Through a series of steps of the implementation of PDCA circulation, the clinical applications of antibacterial drug were significantly improved and meet the requirement of the authority. Conclusion The practices of PDCA circulation management method in antibacterial drug utilization management are effectiveness, and can be applied to other medical management fields.
出处
《中国病案》
2015年第6期45-48,共4页
Chinese Medical Record
关键词
PDCA
循环
抗菌药物
持续改进
PDCA circulation
Anti-bacterial drug
Continuous improvement
