摘要
目的探讨基于品管圈(quality control circle,QCC)活动的计划-执行-检查-处理(plan-do-check-act,PDCA)循环在提升住院患者抗菌药物治疗前病原学送检率中的作用。方法选取井冈山大学附属医院2021年4月—2023年12月使用抗菌药物的住院患者为研究对象,其中2021年4—8月为QCC活动干预前,2021年9月—2023年12月为QCC活动干预后。比较QCC活动干预前(2021年4—8月)、干预后(2021年9—12月、2022年1—12月、2023年1—12月)住院患者抗菌药物治疗前病原学检测送检率,限制级、特殊级抗菌药物治疗前病原学送检率。结果干预前,2021年4—8月住院患者抗菌药物治疗前病原学送检率,限制级、特殊级抗菌药物治疗前送检率分别为39.96%、41.83%、62.89%;干预后,2021年9—12月分别为45.46%、49.18%、76.00%,2022年1—12月分别为50.76%、54.13%、85.94%,2023年1—12月分别为54.64%、58.37%、91.51%。比较不同年份住院患者各类抗菌药物治疗前病原学送检率,差异均有统计学意义(P<0.001)。比较不同时间段抗菌药物治疗前送检医嘱开具、标本采集、标本转运和检验报告合格率,差异均有统计学意义(P<0.001)。结论基于QCC的PDCA循环能提高住院患者抗菌药物治疗前病原学送检率,有效指导临床合理用药。
Objective To explore the role of the plan-do-check-act(PDCA)cycle based on Quality Control Circle(QCC)activities in improving the pathogen submission rate of hospitalized patients before antibiotic treatment.Methods Inpatients who used antibiotics from April 2021 to December 2023 in Jinggangshan University Affiliated Hospital were as the research subjects,with the period from April to August 2021 as the pre-intervention period and from September 2021 to 2023 as the post-intervention period.The pathogen submission rates before antibiotic treatment and the pathogen submission rates before treatment with restricted and special antibiotics of hospitalized patients before QCC intervention(April to August 2021),after intervention(September to December 2021,January to December 2022,January to December 2023)were compared.Results Before the intervention,the pathogen detection rates before antibiotic treatment,restricted grade,and special grade antibiotic treatment in hospitalized patients from April to August 2021 were 39.96%,41.83%,and 62.89%,respectively;After intervention,the rates from September to December 2021 were 45.46%,49.18%,and 76.00%,respectively;from January to December 2022,the rates were 50.76%,54.13%,and 85.94%,respectively;and from January to December 2023,t h e r a t e s w e r e 54.64%,58.37%,and 91.51%,respectively.Compared the pathogen submission rates of hospitalized patients b e f o r e v a r i o u s a n t i m i c r o b i a l t r e a t m e n t s i n d i ff e r e n t y e a r s,t h e d i f f e r e n c e s w e r e s t a t i s t i c a l l y s i g n i ficant(P<0.001).Compared the qualified rates of medical orders,specimen collection,specimen transportation,and test reports before antimicrobial treatment in different time periods,the differences were statistically significant(P<0.001).Conclusion The PDCA cycle based on QCC can increase the rate of pathogen detection before antibiotic treatment in hospitalized patients,and effectively guide rational administration of drug.
作者
戴恩龙
彭莲华
刘冬冬
肖瑾瑛
黄玲
毛平
DAI Enlong;PENG Lianhua;LIU Dongdong;XIAO Jinying;HUANG Ling;MAO Ping(Department of Laboratory,Jinggangshan University Affiliated Hospital,Ji'an Jiangxi 343000,China;Department of Hospital Infection Prevention and Control,Jinggangshan University Affiliated Hospital/Infection Management Quality Control Center,Ji'an Hospital,Ji'an Jiangxi 343000,China;Department of Cardiothoracic Vascular Surgery,Jinggangshan University Affiliated Hospital/Ji'an Interventional Therapy Clinical Medical Research Center,Ji'an Jiangxi 343000,China;Department of Nursing,the Third Xiangya Hospital of Central South University,Changsha Hunan 410013,China)
出处
《中国卫生标准管理》
2025年第2期131-136,共6页
China Health Standard Management
基金
吉安市科技计划项目(20222-201564)。
关键词
品管圈
抗菌药物
计划-执行-检查-处理
病原学送检
多重耐药菌
合理用药
quality control circle
antibacterial drugs
plan-docheck-act
pathogen submission
multidrug-resistant bacteria
rational administration of drug
