本文選題：PDCA循環(huán) + 抗菌藥物��； 參考：《中國藥房》2015年17期

【摘要】：目的:評價PDCA循環(huán)管理干預(yù)Ⅰ類切口手術(shù)預(yù)防使用抗菌藥物的效果。方法:采用回顧性分析方法,抽取我院PDCA循環(huán)管理干預(yù)前(2011年1-6月)225份,第一輪PDCA循環(huán)管理干預(yù)后(2012年1-6月)211份,第二輪PDCA循環(huán)管理干預(yù)后(2013年1-6月)157份Ⅰ類切口手術(shù)出院病歷,對比分析持續(xù)干預(yù)前后抗菌藥物預(yù)防使用情況。結(jié)果:經(jīng)過兩輪PDCA循環(huán)管理干預(yù),我院清潔手術(shù)圍術(shù)期抗菌藥物使用率由90.67%下降至25.48%(P0.05);總預(yù)防用藥時間≤24 h比例由干預(yù)前的31.37%提高至50.00%(P0.05);抗菌藥物品種數(shù)由干預(yù)前的20種下降至5種,二聯(lián)聯(lián)合預(yù)防用藥率由5.88%下降至2.50%,選用第三代頭孢菌數(shù)的比例由6.48%下降至0,人均抗菌藥物總費用占藥品總費用的比例也由14.26%降至4.16%。干預(yù)前后以上指標比較差異均具有統(tǒng)計學意義(P0.05)。結(jié)論:PDCA循環(huán)應(yīng)用于Ⅰ類切口手術(shù)圍術(shù)期抗菌藥物應(yīng)用的管理是有效的,能持續(xù)促進抗菌藥物的合理使用。
[Abstract]:Objective: to evaluate the effect of PDCA circulatory management on the prevention of antibiotics in type I incision operation. Methods: a retrospective analysis method was used to collect 225 PDCA circulatory management interventions (January to June 2011) and 211 PDCA circulatory management interventions in the first round (January to June 2012). After the second round of PDCA circulatory management intervention (January to June 2013, 157 cases of class I incision operation and discharge records), the use of antimicrobial drugs before and after continuous intervention was compared and analyzed. Results: after two rounds of PDCA cycle management intervention, The utilization rate of antibiotics decreased from 90.67% to 25.48% in perioperative period in our hospital, the proportion of total preventive drug use time 鈮，

本文編號：1876016