PDCA循环管理在围术期抗菌药物预防使用中的应用

发布时间：2018-04-15 06:14

本文选题：PDCA循环 + 围术期　；参考：《中国药房》2015年17期

【摘要】：目的:评价PDCA循环管理在围术期抗菌药物预防使用中的作用。方法:选取我院2011年1-3月(PDCA循环管理实施前)186例和2013年10-12月(PDCA循环管理实施后)192例甲状腺手术、乳腺手术、腹股沟疝手术、白内障手术、骨科内固定取出术、血管造影术以及腹腔镜下胆囊切除术出院病例,对实施PDCA循环管理前后围术期抗菌药物预防使用情况进行比较。结果:实施PDCA循环管理后,围术期抗菌药物预防使用率由实施前的100%降至13.54%(P0.01);围术期抗菌药物使用品种趋于合理,围术期未使用抗菌药物的比例由实施前的0上升至86.46%(P0.01);术前0.5~2 h预防使用抗菌药物的比例由0上升至9.38%(P0.05);围术期预防使用抗菌药物的时间≤24 h的比例由0.54%上升至10.94%(P0.05);联合用药率由15.05%下降至0(P0.05);各项不合理用药情况显著改善,与实施PDCA循环管理前比较差异有统计学意义(P0.01)。结论:PDCA循环适用于围术期抗菌药物预防使用管理,使围术期不合理预防使用抗菌药物现象得到了有效遏制,并逐浙符合管理目标。
[Abstract]:Objective: To evaluate the PDCA cycle management in the perioperative prophylactic application of antibiotics in vitro. Methods: in our hospital in 2011 1-3 months (before implementing the PDCA circulation management of 186 cases) and 10-12 months (2013 implementation of PDCA cycle management after) 192 cases of thyroid surgery, breast surgery, inguinal hernia surgery, cataract surgery, Department of orthopedics fixation surgery, angiography and laparoscopic cholecystectomy patients, before and after the implementation of the PDCA circulation management of perioperative antimicrobial prophylaxis usage comparison. Results: the implementation of PDCA cycle management, perioperative antibiotic prophylaxis rate from 100% to 13.54% before the implementation of the (P0.01); perioperative use of varieties to reasonable perioperative antibiotics, without the use of antibacterial drugs by the proportion of before the implementation of the 0 rose to 86.46% (P0.01) 0.5~2 h; preoperative antibiotic prophylaxis ratio increased from 0 to 9.38% (P0.05); perioperative prevention. Use of Antibacterials in time is less than or equal to 24 the proportion of h increased from 0.54% to 10.94% (P0.05); combination rate decreased from 15.05% to 0 (P0.05); the unreasona significantly improved, compared with before implementing the PDCA circulation management statistical significance (P0.01). Conclusion: PDCA cycle for perioperative period preventive antimicrobial management, make rational use of antibiotics have been effectively curbed in perioperative period, and gradually meet the management goal.

【作者单位】：南京医科大学附属江宁医院药学部;
【分类号】：R969.3

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