摘要
目的:分析PDCA循环管理法在门诊抗菌药物管理和处方点评的效果。方法:抽取2013年第3季度5 d门诊抗菌药物处方数量作为PDCA实施前组;另抽取2016年第1季度5 d门诊抗菌药物处方数量作为PDCA实施后组;按照PDCA循环管理的计划、实施、检查和处理程序,分析实施前后的抗菌药物处方点评结果。结果:PDCA实施后抗菌药物的使用率由26.98%降至23.50%,抗菌药物联用的现象得到一定改善,阿奇霉素和阿莫西林-克拉维酸钾的口服处方均有所上升,输液处方均呈下降趋势;用药不适宜处方比例大幅下降,由2013年的65.85%降至15.35%;两组间用法次数不当、单次超剂量使用、超权限使用处方均下降,以及溶媒选用不当、门诊不可用药和其他不合理处方已基本杜绝。结论:运用PDCA循环管理法对门诊抗菌药物处方的干预管理,促进了处方点评开展。
Objective： To analyze the efficiency of PDCA circulation in antimicrobial management and prescription review in outpatient. Methods： Outpatient antimicrobial prescriptions of five days were extracted from the third- quarter of 2013, called front PDCA implemented group. Outpatient antimicrobial prescriptions were extracted from the first-quarter of 2016, called back PDCA implemented group. According to the procedures of PDCA cycle management including plan, implement, check and processing, the results ofantimicrobial prescription before and after the implemen- tation were analyzed. Results： After the implementation of PDCA, the usage rate of antimicrobial drugs descend by 26.98% to 23.50%. The phenomenon of antibacterial drug combination has certainiy improved. The number of oral pre- scriptions of azithromycin and amoxicillin clavulanic acid potassium has increased, while transfusion prescriptions have eclined.The proportion of inappropriate using in prescription dropped from 65.85% to 15.35% of 2013. The number of prescription including improper usage, a single dose, super permission to use was reduced. The prescription of solvent improper selection, clinic medication and other unreasonable prescription has been largely put an end. Conclusion： PDCA circulation used in managing the prescription of antibiotics in the outpatient department can promote the development of the prescription
出处
《抗感染药学》
2016年第4期763-766,共4页
Anti-infection Pharmacy
关键词
PDCA循环
抗菌药物
处方点评
成效
PDCA circulation
antimicrobial drugs
prescription review
efficiency
