PDCA循环在抗菌药物管理中的应用  

Application of PDCA Cycle to Manage Appropriateness of Antimicrobial Usage

作　　者：张建明[1] 史红[1] 宋剑[1] 李志民[1] 史济经[1] 张海燕[1] 高金妹[1] 张国庆[1] 

机构地区：[1]上海市江湾医院,上海200434

出　　处：《中国卫生产业》2013年第19期32-33,共2页China Health Industry

摘　　要：目的探索对抗菌药物合理应用的管理方法。方法应用PDCA循环建立合理应用抗菌药物的管理制度,加强对医务人员的培训考核,定期进行住院患者细菌培养和耐药趋势的分析,发挥临床药师监督、指导作用,依靠电子病案信息化系统平台提升职能部门监督检查能力。结果干预前后抗菌药物使用率由76.89%下降71.33%、抗菌药物使用强度由64.13DDD下降至50.11DDD,I类切口抗菌药物使用率由96.19%下降至36.38%、差异有统计学意义。结论运用PDCA循环对临床抗菌药物的使用进行管理,促进了管理水平的提升,提高了抗菌药物临床合理应用水平。Objective To explore the method of management of the rational use of antibiotics. Methods Apply the PDCA cycle to establish the rational use of antimicrobial drugs management system, strengthen the training of medical personnel assessment and trend analysis of hospitalized patients with bacterial culture and drug regularly, play a clinical pharmacist supervision, guidance role, relying on the electronic medical record information system platform to enhance functional departments of supervision and inspection capabilities. Results Before and after the intervention, antibiotics use decreased from 76.89% to 71.33%, and the intensity of use of antimicrobial agents by 64.13DDD the decline to 50.11DDD I class incision antibiotics use decreased from 96.19% to 36.38%, the difference was statistically significant. Conclusion Use the PDCA cycle management of clinical antimicrobial use, promoting the management level, to improve antimicrobial Clinical reasonable level of application.

关 键 词：PDCA循环 抗菌药物 管理 

分 类 号：R95[医药卫生—药学]