基于焦点管理循环模式提高住院患者抗菌药物治疗前病原学送检率的实践探索

Practical exploration of improving the rate of pathogen examination before antibiotic treatment in inpatients based on FOCUS-PDCA

提高抗菌药物治疗前病原学送检率对明确病原学诊断、遏制细菌耐药具有重要意义,也是国家医疗质量安全改进的重要目标之一。针对目前送检率偏低的问题,成都市妇女儿童中心医院采用焦点管理循环模式,探索性地通过现状调查、根因分析、干预计划拟定、对策实施、效果评估等措施,使住院患者抗菌药物治疗前病原学送检率得到提升。该文主要阐述了上述模式,对保障住院患者合理应用抗菌药物具有实践意义。

Improving the rate of pathogen examination before antibiotic treatment is of great significance for clarifying pathogen diagnosis and curbing bacterial resistance,and is also one of the important goals for improving national medical quality and safety.In response to the current problem of low pathogen examination rates,Chengdu Women’s and Children’s Central Hospital adopts a FOCUS-PDCA model,has explored measures such as current situation investigation,root cause analysis,intervention plan formulation,countermeasure implementation,and effect evaluation to improve the rate of pathogen examination before antibiotic treatment in inpatients.This article mainly elaborates on the above model,which has practical significance for ensuring the rational use of antibiotics in inpatients.