首页|处方点评模式结合DMAIC流程管理对Ⅰ类手术切口预防性使用抗菌药物合理性的影响

处方点评模式结合DMAIC流程管理对Ⅰ类手术切口预防性使用抗菌药物合理性的影响

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目的 分析处方点评模式结合DMAIC流程管理对Ⅰ类手术切口预防性使用抗菌药物合理性的影响。方法 选取2020年12月至2021年6月我院接收的100例Ⅰ类切口手术患者作为研究对象,根据抗菌药物预防性使用的管理方法不同将其分为对照组和观察组,各 50 例。对照组采取常规抗菌药物预防性使用管理,观察组采取处方点评模式结合DMAIC流程管理。比较两组的管理效果。结果 观察组的用药不适宜、超常处方占比低于对照组,差异具有统计学意义(P<0。05)。观察组的抗菌药物使用率及不合理用药率低于对照组,差异具有统计学意义(P<0。05)。观察组的工作态度、管理技巧、抗菌药使用流程执行、抗菌药管理规范评分高于对照组,差异具有统计学意义(P<0。05)。观察组的不良反应总发生率及Ⅰ类切口手术部位感染率均低于对照组,差异具有统计学意义(P<0。05)。结论 处方点评模式结合DMAIC流程管理能提高Ⅰ类手术切口预防性使用抗菌药物的合理性和处方质量,提升管理质量,降低用药不良反应、Ⅰ类切口感染率,值得推广。
Effect of prescription review mode combined with DMAIC process management on the rationality of prophylactic use of antibiotics in type Ⅰ surgical incision
Objective To analyze the effect of prescription review mode combined with DMAIC process management on the rationality of prophylactic use of antibiotics in type Ⅰ surgical incision.Methods A total of 100 patients with type Ⅰ surgical incision received in our hospital from December 2020 to June 2021 were selected as the research objects.According to the different management methods of prophylactic use of antibiotics,the patients were divided into control group and observation group,with 50 cases in each group.The control group was given routine prophylactic use of antibiotics,and the observation group was given prescription review mode combined with DMAIC process management.The management effects of the two groups were compared.Results The proportion of inappropriate medication and abnormal prescriptions in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The utilization rate of antibiotics and irrational drug use rate in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The scores of work attitude,management skills,implementation of antibacterial drug use process and antibacterial drug management standard in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse reactions and surgical site infection rate of type Ⅰ incision in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The prescription review mode combined with DMAIC process management can improve the rationality and prescription quality of prophylactic use of antibiotics in type Ⅰ surgical incision,improve the management quality,reduce adverse drug reactions and typeⅠ incision infection rate,which is worthy of promotion.

prescription review modeDMAIC process managementtype Ⅰ surgical incisionpreventive medicationantibacterial drug

朱永飞

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榆林市星元医院,陕西 榆林,719000

处方点评模式 DMAIC流程管理 Ⅰ类手术切口 预防性用药 抗菌药物

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(4)
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