Application of PDCA Cycle Management in Lowering the Antibiotics Use Density in Hospitalized Patients
Objective:To analyze the effect of PDCA cycle management in lowering the antibiotics use density(AUD)in hospitalized patients in the hospital,and provide a reference for the clinically rational use of antibacterial drugs.Methods:The use data of antibacterial drugs in hospitalized patients in the whole hospital before the implementation of PDCA cycle management from April to June 2020 were set as the pre-implementation group,and the use data of antibacterial drugs in hospitalized patients in the whole hospital after the implementation of PDCA cycle management from July 2020 to September 2021 were set as the post-implementation group.The AUD conformance of the whole hospital and each department before and after the implementation of PDCA cycle management,and the changes in the use rates of antibacterial drugs in the whole hospital were analyzed.Results:Before the implementation of PDCA cycle management,the AUDs of hospitalized patients in the whole hospital were higher than 40,and the proportion of departments with AUD nonconformance was always more than 65.00%;within 15 months after the implementation of PDCA cycle management,except for one month,the AUDs of the whole hospital were less than 40 in other months,and the proportion of departments with AUD nonconformance decreased gradually,reaching a minimum of 28.57%;in addition,with the implementation of PDCA cycle management,the use rates of antibacterial drugs in hospitalized patients in the whole hospital also showed a downward trend.Conclusion:The implementation of PDCA cycle management can effectively reduce the AUD of hospitalized patients in the hospital to meet the national requirements;in addition,it can lower the use rate of antibacterial drugs in the hospital,thereby promoting the clinically standardized use of antibacterial drugs.
PDCA cycleantibiotics use densityhospitalized patientsrational use of drugs