PDCA循环法在抗菌药物临床使用管理中的应用

Application of PDCA cycle in the management of clinical use of antibiotics

目的:探讨抗菌药物临床合理使用的管理方法。方法:选择利用PDCA循环工具的12 000例住院患者和5 000例急诊患者、15 000例门诊患者为试验组,选择未利用PDCA循环工具的12 000例住院患者和5 000例急诊患者、15 000门诊患者为对照组,比较两组临床资料。结果:试验组门诊患者抗菌药物使用率、急诊患者抗菌药物使用率、住院患者抗菌药物使用率显著优于对照组(P<0.05),试验组抗菌药物使用强度显著低于对照组(P<0.05)。结论:利用PDCA循环工具能够有效促进抗菌药物临床合理使用,规范医师用药行为。

Objective：To explore the management methods of rational use of antibiotics . Methods ： 12 000 hospitalized patients, 5 000 emergency patients and 15 000 outpatients using PDCA cycle tool were selected as the experimental group,12 000 hospitalized patients,5 000 emergency patients and 15 000 outpatients without PDCA cycle tool were selected as the control group, we compared the clinical data of the two groups.Results：In the experimental group,the use rate of antibacterials in outpatients,the use rate of antibacterials in the emergency patients and the use rate of antibiotics in hospitalized patients were significantly better than those in the control group（P 〈 0.05）,the use intensity of antibiotics in the experimental group was significantly lower than that in the control group（P 〈 0.05）.Conclusion：The use of PDCA cycle tools can effectively promote the rational use of antibiotics and standardize the behavior of doctors.