PDCA循环规范骨科围术期抗菌药物预防使用的研究

Research of Standardizing Uses of Antibiotics at Perioperative Period in Orthopedics Department by Using PDCA Cycle

目的探讨计划-实施-检查-处理（PDCA）循环管理方式在骨科围术期预防用抗菌药物应用中的效果。方法运用PDCA循环理论进行现状评估、找出原因、确定目标、制定对策。对实施PDCA循环前的2011年1～6月及实施PDCA循环后的2012年1～6月骨科Ⅰ、Ⅱ类切口手术出院病例预防用抗菌药物的合理性进行对照研究。结果应用PDCA循环后，抗菌药物使用率由100％下降为68％，人均抗菌药物费用由1107．6元下降至348．3元，临床抗菌药物的合理应用水平得到提高。结论应用PDCA循环管理可提高骨科围术期预防用抗菌药物的合理使用水平。

Abstract：Objective To investigate rational use of antibiotics at perioperative period in orthopedics department and evaluate the effect of the plan, do, check and action（PDCA） cycle management. Methods According to PDCA procedure, materials were collected and analyzed, and measures were made out on promotion followed by supervising the practice for furhter improvement. The data of medication of type I and Ⅱ incision operation were collected and compared from January to July in 2011（before the implementation of PDCA method） and from January to July in 2012（after the implementation of PDCA method）. Results After implementatcion of PDCA method, application rate of antibiotics decreased from 100% to 68% and the average cost of antibiotics declined from1 107.6 yuan to 348.3 yuan.The rational application of antibiotics was significantly improved. Conclusion The implementation of PDCA method is feasible and effective, which can improve the rational application of antibiotics at perioperative period in orthopedics department.