PDCA循环管理法在抗菌药物管理中的应用

On the Application of PDCA Cycle in the Management of Antibiotics

目的:评价PDCA循环法在改善医院抗菌药物临床应用中的效果。方法:采用PDCA循环管理法,通过计划-执行-检查-改进环节对武汉大学中南医院抗菌药物的临床应用进行专项整治,并对整治活动前后(2012~2016年)的抗菌药物使用强度、住院患者抗菌药物使用率以及抗菌药物使用前病原微生物送检率的效果进行分析、评价。结果:经过PDCA循环干预,我院抗菌药物的临床应用有了显著改善,抗菌药物使用率由73.37%降至38.64%,抗菌药物使用强度由68.43降至29.02,限制级和特殊使用级抗菌药物的病原微生物送检率由21.59%和57.34%分别上升至88.42%和99.07%,I类切口预防使用抗菌药物比例由84.5%降至28.6%。结论:PDCA循环法用于医院抗菌药物的管理可促进抗菌药物的合理使用,提高医院合理用药水平。

Objective： To evaluate the effect of PDCA cycle in improving the clinical application of antibiotics in Zhongnan Hospital. Methods： The clinical application of antibiotics in Zhongnan Hospital was specially renovated in such aspects as planning, implementation, examination and improvement through the PDCA cycle management. The use intensity of antibiotics, the utilization rate of antibiotics in inpatients and the detection rate of antibiotics before and after the application of PDCA cycle management （2012-2016） were analyzed and evaluated. Results： The clinical application of antibiotics in our hospital was significantly improved through PDCA cycle intervention. The utilization rate of antibiotics decreased from 73.37% to 38.64%. The use intensity of antibiotics decreased from 68.43 to 29.02. The detection rate of restricted and specially used antibiotics increased from 21.59% and 57.34% to 88.42% and 99.07% respectively. The proportion of prophylactic use of antibiotics for Type I incision surgery decreased from 84.5% to 28.6%. Conclusion： The application of PDCA cycle in management of antibiotics can promote the rational use of antibiotics and improve the level of rational drug use.