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目的:探讨PDCA循环对提高医院抗菌药物合理使用管理的应用价值,促进抗菌药物的合理使用。方法:选取2013年7—12月间和2014年1—6月间医院数据,分为改进前组和改进后组,并抽取相应组的抗菌药物病历,比较住院患者抗菌药物的使用率、使用强度、合理率和门诊患者抗菌药物的使用率。结果:改进后组住院患者抗菌药物的使用率(53.90%)、使用强度(38.25)、门诊患者抗菌药物使用率(21.20%)较改进前组住院患者抗菌药物使用率(68.33%)、使用强度(49.81)、门诊患者抗菌药物使用率(29.83%)均显著降低(P<0.05);改进后组抗菌药物使用合理率(79.02%)较改进前(63.90%)显著提高(P<0.05),改进前急诊抗菌药物使用率(42.15%)与改进后(39.27%)无显著差异(P>0.05)。结论:采用PDCA循环可有效促进抗菌药物的合理使用。
Objective: To explore the application of PDCA cycle in improving the rational use of antimicrobial agents in hospitals and to promote the rational use of antimicrobial agents. Methods: The hospital data from July to December in 2013 and January to June in 2014 were selected and divided into improvement group and improved group, and the corresponding antimicrobial medical records were drawn, and the usage rate of antibiotics in hospitalized patients was compared. Intensity, Reasonable Rate and Outpatient Antibiotics Usage. Results: The use rate of antimicrobials (53.90%), strength of use (38.25), outpatient antibacterial drug use rate (21.20%) in the improved group were significantly higher than those of the inpatients (68.33%), (49.81), and the use rate of antibacterials in outpatients was significantly lower (29.83%, P <0.05). The rational use rate of antibacterials in the improved group was significantly higher (79.02%) than that before the improvement (63.90% There was no significant difference (P> 0.05) between the improvement of antegrade use of antibiotics (42.15%) and improvement (39.27%). Conclusion: PDCA circulation can effectively promote the rational use of antimicrobial agents.