应用PDCA循环管理法规范剖宫产围术期抗菌药物的预防使用

发布时间：2018-01-17 14:35

  本文关键词：应用PDCA循环管理法规范剖宫产围术期抗菌药物的预防使用　出处：《中国医院药学杂志》2015年05期 　论文类型：期刊论文

  更多相关文章： PDCA 剖宫产手术 围术期 抗菌药物 合理用药

【摘要】：目的:探讨PDCA循环管理法干预剖宫产围术期抗菌药物预防使用的效果,促进抗菌药物的合理应用。方法:运用PDCA循环理论进行计划、实施、确认和处置,比较评价实施PDCA循环管理前后剖宫产围术期抗菌药物预防使用的合理性。结果:经过2个PDCA循环干预阶段后,无高危因素剖宫产手术抗菌药物选药合理性由54.25%上升至94.19%,持续预防给药时间由全部超24 h,个别病历甚至超48 h降至全部控制在24 h内;存在高危因素预防使用抗菌药物持续时间超过48 h病历由10.30%降至全部控制在48 h内。结论:PDCA循环管理能有效促进剖宫产围术期抗菌药物的合理应用,且可循序推进,符合医疗质量持续改进的要求,值得在抗菌药物临床应用管理中推广。
[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.
【作者单位】： 厦门市妇幼保健院药学部;
【分类号】：R719.8
【正文快照】： 卫生部连续3年开展了抗菌药物专项整治活动,但方案对围术期预防使用抗菌药物的具体要求及各级各类检查均侧重于清洁手术。然而,近年来随着剖宫产术比例的逐年增高,剖宫产已成为目前最常见的手术之一[1]。目前剖宫产围术期抗菌药物滥用现象较为普遍[2-4],有必要进行重点监控。，

本文编号：1436671