摘要
目的:分析PDCA循环干预我院眼科Ⅰ类切口手术预防用抗菌药物使用的效果。方法:采用回顾性分析法,随机抽取我院眼科PDCA循环干预前757例(2018年1~4月)、第1轮PDCA循环干预后853例(2018年5~8月)和第2轮PDCA循环干预后847例(2018年9~12月)Ⅰ类切口手术患者出院病历,并对比分析抗菌药物预防应用情况。结果:经过2轮PDCA循环干预后,眼科Ⅰ类切口手术预防用抗菌药物使用率、给药途径不适宜率分别由23.9%、16.7%降低至11.2%、8.4%;选药合理率、给药时机合理率、疗程合理率分别由干预前的77.9%、17.7%和30.4%提高至第2轮干预后的89.5%、66.7%和70.5%,差异均有统计学意义(P<0.05)。结论:PDCA循环干预显著提高了我院眼科Ⅰ类切口手术预防用抗菌药物的使用合理率。
Objective:To analyze the effect of PDCA cycle on prophylactic use of antimicrobial agents in typeⅠincision surgery of ophthalmology department in our hospital.Methods:Retrospective analysis was performed and randomly selected medical records of ophthalmological discharged patients who had type I incision surgery in our hospital.There were 757 cases before the intervention(January to April 2018),853 cases after the first round of PDCA cycle(May to Auvip 2018)and 847 cases after the second round of PDCA cycle(September to December 2018).The prophylactic use of antimicrobial agents was analyzed comparatively.Results:After 2 rounds of PDCA cycle intervention,the usage of antimicrobial agents and inappropriate rate of administration route decreased from 23.9%,16.7%to 11.2%,8.4%,respectively.Meanwhile,the reasonable rates of drug selection,medication time and medication course increased from 77.9%,17.7%,30.4%before the intervention to 89.5%,66.7%,70.5%after the second intervention,respectively,and with statistical significance(P<0.05).Conclusion:PDCA cycle intervention improves the rational rate of prophylactic use of antimicrobial agents in typeⅠincision surgery of ophthalmology department in our hospital.
作者
郭未艳
吕娟
王园姬
王颖丽
王丹
李亚美
GUO Weiyan;LV Juan;WANG Yuanji;WANG Yingli;WANG Dan;LI Yamei(Xi′an NO.1 Hospital,Shannxi Xi′an 710002,China)
出处
《中国医药导刊》
2020年第4期270-274,共5页
Chinese Journal of Medicinal Guide
基金
2017西安市卫生局科技计划项目(项目编号:J201701004)。
关键词
PDCA循环
眼科
Ⅰ类切口手术
抗菌药物
预防用药
PDCA cycle
Ophthalmology department
TypeⅠincision surgery
Antimicrobial agents
Prophylactic
