PDCA循环管理法在抗菌药物管理中的应用效果分析

The Effectiveness Analysis of PDCA Cycle Management Used in Antibiotics Management

目的:分析PDCA循环管理法在抗菌药物管理中的应用效果。方法:本院自2014年1月开始将PDCA循环管理法应用于抗菌药物使用管理工作之中。随机抽取实施管理前(2013年)和实施管理后(2014年)的本院住院患者各88例作为研究对象,比较实施PDCA循环管理法前后两组患者抗菌药物管理相关指标的差异性。结果:应用PDCA循环管理法实施抗菌药物管理的88例患者,其抗菌药物使用率、Ⅰ类切口抗菌药物使用率、药品总费用、人均抗菌药物使用金额等显著低于实施管理前的患者,差异有统计学意义(P<0.05);在治疗用抗菌药物病原微生物送检率方面,实施PDCA循环管理后显著高于实施管理前,差异有统计学意义(P<0.05)。结论:将PDCA循环管理法引入至医院抗菌药物专项管理工作实践之中,能够显著降低住院患者和Ⅰ类切口手术病例的抗菌药物使用比例以及药品总费用、人均抗菌药物使用金额,提高治疗用抗菌药物病原微生物送检率,是一种行之有效的抗菌药物管理模式。

Objective：To analyze the effect of PDCA cycle management method applied in antimicrobial drug management.Method：PDCA cycle management method had been applied in our hospital since January 2014.Two groups of patients were selected from our hospital as research subjects,88 cases in each group,one group was from the hospital before the implementation of PDCA cycle management（January 2013 to December 2013） and the other was from the hospital after the implementation of PDCA cycle management（January 2014 to December 2014）,the differences of related indicators of antimicrobial management before and after PDCA cycle management implementation were compared.Result：The use rate of antibiotics in inpatient and type I incision , the total cost of the drug and the per capita cost of antibiotics after the implementation of the PDCA cycle management was significantly lower than before the implementation of the PDCA cycle management,the difference had significantly difference（P〈0.05）. In the submission rate of antimicrobial agents pathogenic microorganisms,the group after the implementation of PDCA cycle management was higher than the group before the implementation of PDCA cycle management,the difference had significantly difference（P〈0.05）.Conclusion：In the special management practices of antibacterial drugs,PDCA cycle management method can significantly reduce the use rate of antibiotics in inpatient , the use rate of antibiotics in type Ⅰ incision, the total cost of the drug and the money used in per capita antibiotics.It can also enhance the submission rate of antimicrobial agents pathogenic microorganisms,so it is an effective antimicrobial management mode.