PDCA循环管理规范Ⅰ类切口围手术期抗菌药物预防性使用的效果分析  

Analysis PDCA cycle management practices class Ⅰ incision surgery around the effect of prophylactic use of antimicrobials

作　　者：罗昭[1] 林惠贞[1] 陈柳群 贺新中 陈建嫄 齐青松[2] 

机构地区：[1]东莞市厚街医院药学部,东莞523960 [2]东莞市厚街医院院感科,东莞523960

出　　处：《北方药学》2016年第7期176-177,共2页Journal of North Pharmacy

摘　　要：目的：探讨PDCA循环管理规范Ⅰ类切口围手术期抗菌药物预防性使用的效果。方法：选取我院2013年1～12月所有I类切口手术出院病例1112例作为对照组,运用PDCA循环方法收集资料,发现问题汇总并进行原因分析,制定并落实整改措施,加强监督检查,反馈和持续改进,选取2014年10月～2015年9月所有I类切口手术出院病例1348例作为干预组,对两组患者预防用抗菌药物的情况进行对比分析。结果：经过一系列干预,抗菌药物使用率显著下降,由干预前的54.77%下降为28.67%（P〈0.01）,不合理使用抗菌药物的现象明显得到改善。结论：PDCA循环法用于规范I类切口手术抗菌药物的使用效果显著,显著改善了我院抗菌药物使用的合理性,但有些不合理的方面仍需持续改进。Objective：To investigate the PDCA cycle management practices class Ⅰ incision around the operative effect of prophylactic use of antibiotics.Methods：in our hospital in January2013 ～December2013 all Class I incision discharge records 1112 cases as the control group,the PDCA cycle method to gather information,identify problems to aggregate and cause analysis,develop and implement corrective measures to strengthen supervision and inspection,feedback and continuous improvement,select October 2014~2015 during September all class I medical records of 1348 cases discharged from hospital incision intervention as a group,2 groups of patients were compared with a case of prevention of antimicrobial agents.Results：After a series of interventions,antibiotics use decreased significantly,down from 54.77% before intervention was 28.67%（P〈0.01）,the phenomenon of irrational use of antibiotics has improved markedly.Conclusion：The PDCA cycle method for Class I specification incision rational use of antimicrobial agents significant effect,significantly improve the rationality of the use of antimicrobial agents,but some irrational aspects still need continuous improvement.

关 键 词：PDCA循环 I类切口手术 抗菌药物 合理使用 

分 类 号：R969.3[医药卫生—药理学]