| 摘要: |
| 目的：探讨PDCA循环管理持续改进基层妇幼保健院抗菌药物临床应用管理，提升抗菌药物临床应用管理水平和促进合理用药。方法：采用回顾性分析方法，通过医院信息系统提取2015-2016年抗菌药物管理和临床应用的各项监管指标，分析其中存在问题的指标及产生原因，针对根本原因制定切实可行的改进管理计划，实施应用于2017-2019年的临床应用管理中。对比干预前（2015-2016年）与干预后（2017-2019年）指标数据变化，评估干预成效。结果：干预后抗菌药物的金额占比由12.19%降至6.71%，门（急）诊抗菌药物使用率由19.09%降至7.52%，住院抗菌药物使用率由55.09%下降至38.36%，住院抗菌药物使用强度由34.35 DDDs下降至21.74 DDDs，接受抗菌药物治疗的住院患者微生物样本送检率符合国家要求。结论：PDCA循环管理法在持续改进抗菌药物临床应用管理的效果显著。 |
| 关键词: PDCA循环管理 抗菌药物 合理用药 持续改进 |
| DOI：doi:10.13407/j.cnki.jpp.1672.108X.2021.08.014 |
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| 基金项目: |
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| Clinical Application Management of Antibiotics Based on PDCA Cycle Management |
| Guo Huijuan, Liao Yuxia, Wan Chenlu, Fang Changji, Deng Yanchao, Huang Weidong |
| (Shenzhen Baoan Women and Children’s Hospital, Jinan University, Guangzhou Shenzhen 518102, China) |
| Abstract: |
| Objective: To explore the PDCA cycle management in continuous improvement of the clinical application management of antibiotics in primary maternal and child health care hospitals, so as to enhance the clinical application management level of antibiotics and promote the rational drug application. Methods: Retrospective analysis was used to extract various regulatory indicators of antimicrobial management and clinical application from the hospital information system from 2015 to 2016. Problematic indicators and the causes were analyzed, the practical and feasible improvement management plans for the root causes were formulated and implemented in the clinical application management from 2017 to 2019. Intervention results were evaluated by comparing the changes in indicators before intervention (from 2015 to 2016) and after intervention (from 2017 to 2019). Results: After intervention, the proportion of consumption sum of antibiotics decreased from 12.19% to 6.71%, the application rate of antibiotics in outpatient (emergency) department decreased from 19.09% to 7.52%, the application rate of antibiotics for inpatients decreased from 55.09% to 38.36%, and the use intensity of antibiotics for inpatients decreased from 34.35 DDDs to 21.74 DDDs. The rate of microbiological samples sent by inpatients receiving antibiotics met the national requirements. Conclusion: The PDCA cycle management is effective in continuously improving the management of clinical application of antibiotics. |
| Key words: PDCA cycle management antibiotics rational drug application continuous improvement |
