本文關(guān)鍵詞：應(yīng)用PDCA循環(huán)管理法規(guī)范剖宮產(chǎn)圍術(shù)期抗菌藥物的預(yù)防使用　出處：《中國(guó)醫(yī)院藥學(xué)雜志》2015年05期 　論文類型：期刊論文

  更多相關(guān)文章： PDCA 剖宮產(chǎn)手術(shù) 圍術(shù)期 抗菌藥物 合理用藥

【摘要】：目的:探討PDCA循環(huán)管理法干預(yù)剖宮產(chǎn)圍術(shù)期抗菌藥物預(yù)防使用的效果,促進(jìn)抗菌藥物的合理應(yīng)用。方法:運(yùn)用PDCA循環(huán)理論進(jìn)行計(jì)劃、實(shí)施、確認(rèn)和處置,比較評(píng)價(jià)實(shí)施PDCA循環(huán)管理前后剖宮產(chǎn)圍術(shù)期抗菌藥物預(yù)防使用的合理性。結(jié)果:經(jīng)過(guò)2個(gè)PDCA循環(huán)干預(yù)階段后,無(wú)高危因素剖宮產(chǎn)手術(shù)抗菌藥物選藥合理性由54.25%上升至94.19%,持續(xù)預(yù)防給藥時(shí)間由全部超24 h,個(gè)別病歷甚至超48 h降至全部控制在24 h內(nèi);存在高危因素預(yù)防使用抗菌藥物持續(xù)時(shí)間超過(guò)48 h病歷由10.30%降至全部控制在48 h內(nèi)。結(jié)論:PDCA循環(huán)管理能有效促進(jìn)剖宮產(chǎn)圍術(shù)期抗菌藥物的合理應(yīng)用,且可循序推進(jìn),符合醫(yī)療質(zhì)量持續(xù)改進(jìn)的要求,值得在抗菌藥物臨床應(yīng)用管理中推廣。
[Abstract]:Objective: to investigate the effect of PDCA circulatory management on the prevention and use of antibiotics in perioperative period of cesarean section, and to promote the rational application of antibiotics. Methods: the theory of PDCA circulation was used to plan and implement the antimicrobial drugs. To confirm and dispose, compare and evaluate the rationality of prophylactic use of antibiotics in perioperative period of cesarean section before and after PDCA circulation management. Results: after two PDCA cycle intervention stages. The rationality of antibiotics selection in cesarean section without high risk factors increased from 54.25% to 94.19, and the duration of continuous prophylactic administration was more than 24 hours. Individual medical records even exceeded 48 hours and all of them were controlled within 24 hours. The duration of prophylactic use of antimicrobial agents decreased from 10.30% to 48 hours. PDCA circulation management can effectively promote the rational use of antibiotics in perioperative period of cesarean section. It can be promoted step by step and meets the requirement of continuous improvement of medical quality. It is worth popularizing in clinical application management of antimicrobial agents.
【作者單位】： 廈門(mén)市婦幼保健院藥學(xué)部;
【分類號(hào)】：R719.8
【正文快照】： 衛(wèi)生部連續(xù)3年開(kāi)展了抗菌藥物專項(xiàng)整治活動(dòng),但方案對(duì)圍術(shù)期預(yù)防使用抗菌藥物的具體要求及各級(jí)各類檢查均側(cè)重于清潔手術(shù)。然而,近年來(lái)隨著剖宮產(chǎn)術(shù)比例的逐年增高,剖宮產(chǎn)已成為目前最常見(jiàn)的手術(shù)之一[1]。目前剖宮產(chǎn)圍術(shù)期抗菌藥物濫用現(xiàn)象較為普遍[2-4],有必要進(jìn)行重點(diǎn)監(jiān)控。，

本文編號(hào)：1436671