PDCA法用于Ⅰ类切口手术抗菌药物预防性使用管理实践

Application of PDCA in Management of Perioperative Prophylactic Use of Antibacterial Drugs in Type 1 Incision Operation in Our Hospital

目的探索控制医院围手术期Ⅰ类切口手术抗菌药物预防性使用的管理办法。方法将PDCA法应用于医院围手术期Ⅰ类切口手术抗菌药物预防使用管理,通过现状调查、原因分析、确定目标以及制订相应的管理措施,最后对效果进行评价。结果经过PDCA循环管理干预后,预防性抗菌药物使用率逐年降低,2011年3月至2012年3月、2012年4月至2013年3月、2013年4月至2014年3月分别为48.56%,39.67%和28.91%。结论 PDCA循环管理方法用于医院围手术期Ⅰ类切口手术抗菌药物预防性使用管理,效果显著。

Objective To explore the management method for controlling the perioperative prophylactic use of antibacterial drugs in type 1 incision operation in our hospital.Methods The plan,do,check,action（PDCA） method was applied in the management of the peri-operative prophylactic use of antibacterial drugs in type 1 incision operation.The efficacy was finally evaluated through the status quo investigation,causes analysis,setting goals and formulating the corresponding management measures.Results After the PDCA cycle man-agement intervention,the prophylactic use rate of antibacterial drugs was decreased year by year,which from March 2011 to March 2013 were 48.56%,39.67% and 28.91% respectively.Conclusion The PDCA cycle management method has significant effect in the management of the prophylactic use of perioperative antibacterial drugs in type 1 incision operation in our hospital