PDCA方法在降低住院患者抗菌药物使用率中的应用

Application of PDCA Method in Reducing the Utilization Rate of Antibiotics in Hospitalized Patients

目的:开展品管圈活动,降低住院患者抗菌药物使用率。方法:成立品管圈,选定活动主题,拟定活动计划,分析现状,设定目标,解析问题,圈员共同拟定对策并按计划实施。比较活动前后住院患者抗菌药物使用率,从而确认活动效果。结果:开展品管圈活动后,住院患者抗菌药物使用率由原先的64.36%下降到57.82%;抗菌药物使用强度从56.76DDDs下降至45.68DDDs;抗菌药物费用占比从13.14%下降至11.26%。同时,开展品管圈活动能够提高医护人员对抗菌药物合理应用的认知。结论:品管圈活动不仅降低了住院患者抗菌药物使用率,而且使参加该品管圈的人员发挥主人翁精神。

Objective： To explore whether the application of quality control circle （QCC） can decrease the utilization rate of antibiotics in hospitalized patients. Methods： QCC was established, theme of activity was chosen, activity plan was developed, status was analyzed, goal was set and problems were analysed. Members of QCC discussed the strategies together and implemented the plan strictly. The utilization rate of antibiotics in hospitalized patients before and after the application of QCC was compared to confirm the effectiveness of QCC. Results： After the QCC was applied, the utilization rate of antibiotics in hospitalized patients reduced from 64.36% to 57.82%. Antibiotics use density （AUD） decreased from 56.76 DDDs to 45.68 DDDs. The expense rate of antibiotics dropped from 13.14% to 11.26%. Besides, the application of QCC could improve the medical staffs understanding of the rational use of antibiotics. Conclusion： Application of QCC not only decreased the utilization rate of antibiotics in hospitalized patuents, but also strengthened the participants＇ responsibility and improved the quality of medical management of the hospital.