PDCA循环在合理使用抗菌药物管理中的应用

Application of PDCA Model to Manage Appropriateness of Antimicrobial Usage

目的探索对合理使用抗菌药物的管理办法。方法应用PDCA循环建立合理使用抗菌药物的管理制度,对医务人员进行宣传培训,监测病原菌,对耐药菌流行趋势进行分析,指导临床合理用药,加强监督检查、反馈及责任追究。结果通过管理医务人员合理使用抗菌药物的意识普遍增强,抗菌药物使用率下降,病原学送检率上升,围手术期预防用药逐步规范。结论我们采取的管理策略行之有效。

OBJECTIVE To investigate a management strategy for optimizing antimierobial usage. METHODS＇We applied the PDCA （Plan, Do, Cheek, and Action） model to establish a management strategy for the appropriateness of antimierobial usage. The components of the management model included providing educational program for medical staff, monitoring pathogens, analyzing the epidemic tendency of antimierobial-resistant microorganisms, guiding physicians to proper use of antimieorbial treatment, and strengthening the surveillance, feedback and the discipline. RESULTS These efforts resulted in a universal improvement in the awareness of appropriate antimierobial therapy by medical staff, a significant decrease in the rate of antimierobial use, and an increase in the numbers of specimens submitted for pathogen identification. Furthermore, the surgical prophylaxis was gradually standardized. CONCLUSIONS Our management strategy based on PDCA model is effective.