目标管理法与关键绩效指标法在抗菌药物临床使用管理中的应用研究

发布时间：2018-03-25 14:09

本文选题：目标管理法　切入点：关键绩效指标法　出处：《中华医院感染学杂志》2015年22期

【摘要】：目的探讨目标管理法与关键绩效指标法在抗菌药物临床使用管理中的应用及可行性,进一步规范临床抗菌药物的合理使用。方法运用目标管理法和关键绩效指标法,以2010年各科室抗菌药物使用数据作为基数,建立2011年各科室抗菌药物临床使用综合考核指标,以此类推,分别以各科室上年度抗菌药物使用作为抗菌药物改进的依据和目标,比较2010-2013年抗菌药物综合考核指标的改善,同时对使用抗菌药物患者人均DDD数和费用等进行控制。结果门诊、急诊、住院患者及清洁手术预防抗菌药物使用率分别从2010年的30.64%、75.63%、79.31%及98.65%下降至2013年的15.77%、43.76%、54.85%及33.66%,清洁手术用药时机、使用疗程、用药选择合理率分别从2010年的69.85%、11.15%、25.59%上升至2013年的99.81%、65.16%、94.63%,差异均有统计学意义(P0.05);使用抗菌药物患者人均DDD值和费用较难控制,甚至出现增长,可能与不合理使用抗菌药物有关。结论使用目标管理法和关键绩效指标法能有效提高抗菌药物合理使用。
[Abstract]:Objective to explore the application and feasibility of objective management method and key performance index method in the management of clinical use of antimicrobial agents, and to further standardize the rational use of clinical antimicrobial agents. Based on the data of antimicrobial use in various departments in 2010, the comprehensive evaluation index of clinical use of antimicrobial agents in 2011 was established, and so on, the use of antimicrobial drugs in the past year of each department was taken as the basis and target for the improvement of antimicrobial agents, respectively. To compare the improvement of the comprehensive examination index of antimicrobial drugs in 2010-2013, and to control the DDD per capita and the cost of the patients using antibiotics. Results outpatient, emergency, emergency, etc. The utilization rate of antimicrobial drugs among hospitalized patients and clean surgery patients decreased from 30.64% and 98.65% in 2010 to 15.77% and 43.76% and 33.66% respectively in 2013. The rational rate of drug choice rose from 69.85% in 2010 to 99.81% in 2013. The difference was statistically significant (P 0.05). The average DDD value and cost of patients with antimicrobial agents were difficult to control and even increased. Conclusion the objective management method and the key performance index method can effectively improve the rational use of antimicrobial agents.
【作者单位】：浙江省立同德医院药学部;
【基金】：浙江省中医药科学研究基金资助项目(2013ZB012) 浙江省药学会医院药学专项科研基金资助项目(2013ZYY03)
【分类号】：R95

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