运用PDCA循环法降低我院住院患者抗菌药物使用强度的研究  

The application of PDCA circle method in reduce antibiotics use density of our hospital inpatient

作　　者：赵瑛[1] 崔颖[1] ZHAO Ying;CUI Ying(Affiliated Tianyou Hospital of Wuhan University of Science and Technology,Wuhan 430064,China)

机构地区：[1]武汉科技大学附属天佑医院

出　　处：《临床医药实践》2019年第11期846-850,共5页Proceeding of Clinical Medicine

摘　　要：目的:运用PDCA循环管理法降低住院患者抗菌药物使用强度(AUD),促进抗菌药物合理应用。方法:采用PDCA循环理论进行现状调查,分析原因,确定目标,制订对策并实施干预。对实施PDCA循环前(2016年1月—12月)与实施PDCA循环后(2017年1月—12月)的AUD和不达标科室比例进行比较分析。结果:PDCA循环干预后,AUD由基线的53.86 DDD下降至34.57 DDD,不达标科室比例从54.2%下降至20.8%,干预后与干预前基线值比较,差异均有统计学意义(P<0.05)。结论:PDCA循环法用于抗菌药物使用强度的控制及促进抗菌药物使用的持续改进成效显著。Objective:To apply of PDCA circle method in reduce antibiotics use density(AUD)of inpatient,so as to promote the proper applications of antibiotics.Methods:The PDCA circle theory was employed to survey the status,to analyze the cause,to set goals,to formulate strategies and to implement intervention.The use of antibiotics before the implementation of PDCA circle management in our hospital from January to December in 2016 and after the implementation of PDCA circle management in our hospital from January to December in 2017 was compared and analyzed.Results:After 12 month PDCA circle intervention periods,the AUD decreased from 53.86DDD to 34.57DDD,the departments proportion of no reach the standards decreased 54.2% to 20.8%,the compared with the baseline value before intervention,the difference is significant(P<0.05).Conclusion:PDCA circle managementis effective in controlling AUD which is continuously improving the use of antibiotics.Thus,it can be widely applied to antibiotics management.

关 键 词：PDCA循环 抗菌药物 使用强度 干预 

分 类 号：R978.5[医药卫生—药品]