[1]王晓兢,姚艳玲,田 萍.基于PDCA循环法及FMEA提高病原学送检率及抗菌药物合理使用的改进效果分析[J].医学信息,2024,37(09):134-137.[doi:10.3969/j.issn.1006-1959.2024.09.026]
　WANG Xiao-jing,YAO Yan-ling,TIAN Ping.The Improvement Effect on Improving the Rate of Pathogenic Examination and the Rational Use of Antibiotics Based on PDCA Cycle Method and FMEA[J].Journal of Medical Information,2024,37(09):134-137.[doi:10.3969/j.issn.1006-1959.2024.09.026]
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基于PDCA循环法及FMEA提高病原学送检率及抗菌药物合理使用的改进效果分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年09期
页码:
134-137
栏目:
论著
出版日期:
2024-05-01

文章信息/Info

Title:
The Improvement Effect on Improving the Rate of Pathogenic Examination and the Rational Use of Antibiotics Based on PDCA Cycle Method and FMEA
文章编号:
1006-1959（2024）09-0134-04
作者:
王晓兢; 姚艳玲; 田 萍
（新疆医科大学第五附属医院感染管理科，新疆 乌鲁木齐 830001）
Author(s):
WANG Xiao-jing; YAO Yan-ling; TIAN Ping
(Department of Infection Management Office of Fifth Affiliated Hospital of Xinjiang Medical University,Urumqi 830001,Xinjiang,China)
关键词:
PDCA循环法; FMEA; 病原学送检; 抗菌药物
Keywords:
PDCA cycle method; FMEA; Pathogenic inspection; Antibiotics
分类号:
R195.1
DOI:
10.3969/j.issn.1006-1959.2024.09.026
文献标志码:
A
摘要:
目的 验证PDCA循环法及FMEA在提高本院住院患者治疗性抗菌药物使用前病原学送检率及促进合理使用抗菌药物方面的有效性。方法 选取2022年1月-3月（对照组）及2023年1月-3月（干预组）我院治疗性使用抗菌药物患者的病原学送检及抗菌药物使用情况。对照组予以临床常规干预方法，干预组予以PDCA循环法及FMEA持续干预方法，比较两组住院患者病原学送检率及抗菌药物使用率、联用情况。结果 干预组治疗性抗菌药物、治疗性限制级抗菌药物治疗前病原学送检率均高于对照组（P＜0.05），而两组治疗性特殊级抗菌药物治疗前病原学送检率比较，差异无统计学意义（P＞0.05）；干预组治疗性抗菌药物使用率高于对照组（P＜0.05）；干预组一联抗菌药物构成比高于对照组，二联、三联抗菌药物构成比低于对照组（P＜0.05）；干预组预防性使用抗菌药物构成比低于对照组，治疗性使用抗菌药物构成比高于对照组（P＜0.05）。结论 通过PDCA循环法及FMEA，本院住院患者治疗性抗菌药物病原学送检率明显提高，抗菌药物使用趋于合理化。
Abstract:
Objective To verify the effectiveness of PDCA cycle method and FMEA in improving the pathogenic inspection rate of hospitalized patients before treatment with antibiotics in our hospital and promoting rational use of antibiotics.Methods The pathogenic inspection and antibiotic use of patients with therapeutic use of antibiotics in our hospital from January to March 2022 (control group) and January to March 2023 (intervention group) were selected. The control group was given clinical routine intervention method, and the intervention group was given PDCA cycle method and FMEA continuous intervention method. The pathogenic inspection rate, utilization rate of antibiotics and combined use of antibiotics were compared between the two groups.Results The pathogenic inspection rates of therapeutic antibiotics and therapeutic restricted antibiotics before treatment in the intervention group were higher than those in the control group (P<0.05), but there was no significant difference in the rate of pathogenic examination before treatment between the two groups (P>0.05). The utilization rate of therapeutic antibiotics in the intervention group was higher than that in the control group (P<0.05). The proportion of one-drug antibiotics in the intervention group was higher than that in the control group, and the proportion of two-drug and three-drug antibiotics was lower than that in the control group (P<0.05). The proportion of prophylactic use of antibiotics in the intervention group was lower than that in the control group, and the proportion of therapeutic use of antibiotics was higher than that in the control group (P<0.05).Conclusion Through the PDCA cycle method and FMEA, the pathogenic inspection rate of hospitalized patients before treatment with antibiotics in our hospital has significantly increased, and the use of antibiotics is tending to be rationalized.

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更新日期/Last Update: 1900-01-01