中国药物警戒 ›› 2013, Vol. 10 ›› Issue (11): 690-692.

• 医院药事管理与合理用药 • 上一篇    下一篇

PDCA循环规范骨科围术期抗菌药物预防使用的研究

张士洋,程军,叶云,张士勇*   

  1. 安徽蚌埠市第三人民医院药学部,安徽蚌埠 233000
  • 收稿日期:2013-07-02 修回日期:2016-03-09 出版日期:2013-11-08 发布日期:2016-03-09
  • 通讯作者: 张士勇,男,主任药师,药事管理与临床药学。E-mail:22791240@qq.com
  • 作者简介:张士洋,男,硕士,主管药师,临床药学
  • 基金资助:
    蚌埠市医疗卫生科技计划项目：“预防I 类切口感染用药的干预对比研究”（20120309）。

Research of Standardizing Uses of Antibiotics at Perioperative Period in Orthopedics Department by Using PDCA Cycle

ZHANG Shi –yang, CHENG Jun ,YE Yun ,ZHANG Shi -yong*   

  1. Pharmaceutical Affair Office, Third People's Hospital of Bengbu, Anhui Bengbu 233000, China
  • Received:2013-07-02 Revised:2016-03-09 Online:2013-11-08 Published:2016-03-09

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摘要： 目的 探讨计划一实施一检查一处理（PDCA）循环管理方式在骨科围术期预防用抗菌药物应用中的效果。方法 运用PDCA循环理论进行现状评估、找出原因、确定目标、制定对策。对实施PDCA 循环前的2011 年1～6 月及实施PDCA 循环后的2012 年1～6 月骨科I、II 类切口手术出院病例预防用抗菌药物的合理性进行对照研究。结果 应用PDCA 循环后,抗菌药物使用率由100%下降为68%,人均抗菌药物费用由1 107.6 元下降至348.3 元,临床抗菌药物的合理应用水平得到提高。结论应用PDCA循环管理可提高骨科围术期预防用抗菌药物的合理使用水平。

关键词: PDCA循环, 围术期, 抗菌药物, 合理使用

Abstract: Objective To investigate rational use of antibiotics at perioperative period in orthopedics department and evaluate the effect of the plan , do , check and action ( PDCA ) cycle management. Methods According to PDCA procedure,materials were collected and analyzed, and measures were made out on promotion followed by supervising the practice for furhter improvement. The data of medication of type I and II incision operation were collected and compared from January to July in 2011 (before the implementation of PDCA method) and from January to July in 2012 ( after the implementation of PDCA method). Results After implementatcion of PDCA method , application rate of antibiotics decreased from 100% to 68% and the average cost of antibiotics declined from1 107.6 yuan to 348.3 yuan.The rational application of antibiotics was significantly improved. Conclusion The implementation of PDCA method is feasible and effective, which can improve the rational application of antibiotics at perioperative period in orthopedics department.

Key words: PDCA cycle, perioperative period, antibiotics, rational use

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