PDCA循环管理法实施前后对医院抗菌药物合理使用的影响

Influence of Rational Use of Anti-bacterial Drugs before and after Implementation of PDCA Cycle Management in Hospital

目的:探讨临床药师通过PDCA循环管理法对肝胆外科患者抗菌药物使用强度的影响,为临床合理使用抗菌药物提供参考。方法:根据PDCA原则,采用收集资料、把握现况、解析原因、制定计划、检查和总结,分析PDCA循环管理法实施前后抗菌药物的使用情况。结果:实施PDCA循环管理法后,肝胆外科抗菌药物使用合理率由12.75%上升至95.70%;抗菌药物使用强度(DDD/100人·d-1)由实施前的81.7降至实施后的43.2;经与实施前比较其差异有统计学意义(P<0.05)。结论:通过PDCA循环管理法,肝胆外科抗菌药物使用强度的控续改进成效显著,促进了抗菌药物的合理使用。

Objective： To evaluate the influence of management based on PDCA circulation in the anti-microbial use intensity（AUD） of the department of hepatobiliary surgery, and to provide a reference for clinical rational use of antimicrobial agents. Methods： According to the principle of PDCA, we collected data, grasped the current situation, analyzed the reasons, made plans, examined and summarized, it then finally analyzed the use of antibiotics before and after the implementation of PDCA. Results： After the implementation of the PDCA management, the rational rate of the Department of Hepatobiliary Surgery about antimicrobial agents increased from 12.75% to 95.70%. The antimicrobial use intensity （DDD/100 person· d^-1） decreased from 84.6 to 43.2. The difference was statistically significant （P〈0.05）. Conclusion： Through the PDCA circulation management, the control of antimicrobial use intensity in the Department of Hepatobiliary Surgery was improved remarkably, and finally promoted the rational use of antibacterial drugs.