Application of DMAIC procedure in the regulation of prophylactic use of antibiotics in type Ⅰ incision surgery
Objective:To analyze the effect of DMAIC model on the rationality of prophylactic use of antibiotics in type Ⅰ incision surgery.Methods:Patients with type Ⅰ incision in our hospital from January to November of 2022 were selected as the non-intervention group.After 6 months of continuous intervention with DMAIC model,patients with type Ⅰ incision from June 2023 to April 2024 were recruited as the intervention group,and the management effects of the two groups were compared.Results:All the indicators like utilization rate of antibiotic prophylaxis,irrational rate of drug indication,variety,administration time,intraoperative addition,course of treatment,administration schedule,total incidence of adverse reactions and infection rate of type Ⅰ incision in the intervention group were lower than those in non-intervention group,and the differences were significant(P＜0.05).After the intervention,the composition ratio of cefazolin injection and clindamycin injection increased significantly,and the difference was statistically significant(P＜0.05).The composition ratio of etimicin injection and cefmetazole injection decreased significantly,and the difference was statistically significant(P＜0.05).The varieties of preventive drugs has been gradually optimized.Conclusion:DMAIC model can improve the rationality of prophylactic use of antibiotics in type Ⅰincision surgery,improve management quality,reduce adverse drug reactions and infection rate in class Ⅰ incision,which is worth promoting.
DMAIC modeltype Ⅰ incision surgeryantibioticsprophylactic medicationperioperative period
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