运用PDCA循环改进老年患者Ⅰ类切口手术预防用抗菌药物应用的效果评价研究
Effectiveness of PDCA cycle in optimizing the prophylactic use of antibiotics in elderly patients undergoing class Ⅰ incision surgery
潘惠娟 1王福影1
作者信息
摘要
目的 研究PDCA循环管理方法在改进老年患者Ⅰ类切口手术预防用抗菌药物应用中的效果.方法 采用PDCA循环管理模式对Ⅰ类切口手术预防用抗菌药物进行管理,发现问题和分析原因后,依照PDCA循环中的4个步骤进行针对性改进.结果 经过 2 轮PDCA干预,Ⅰ类切口手术预防用抗菌药物比例从 30.47％下降到 18.63％,Ⅰ类切口手术预防用抗菌药物疗程≤24小时的百分率由79.49％上升到97.96％,Ⅰ类切口手术预防用抗菌药物时机合理率从79.49％上升到98.98％,Ⅰ类切口手术预防用抗菌药物品种选择合理率从 80.34％上升到 97.96％,差异均有统计学意义(P<0.05).结论 PDCA循环管理模式对老年患者Ⅰ类切口手术预防用抗菌药物应用的持续改进成效显著,为提高抗菌药物管理水平提供了参考依据.
Abstract
Objective To explore the effectiveness of the Plan-Do-Check-Act(PDCA)cycle in improving the prophylactic use of antibiotics in elderly patients undergoing class Ⅰ incision surgery.Methods The PDCA cycle was applied to manage the prophylactic use of antibiotics in class Ⅰ incision surgery.The identified problems were addressed in a targeted manner by following the four steps in the PDCA cycle.Results After two rounds of PDCA interventions,the rate of prophylactic antibiotic use in class Ⅰ incision surgery decreased from 30.47％to 18.63％,and the percentage of the duration of prophylactic antibiotic use for≤24 hours increased from 79.49％to 97.96％.The rate of optimal timing rose from 79.49％to 98.98％,and the rate of rational prescribing increased from 80.34％to 97.96％.Conclusions The PDCA cycle can effectively improve the prophylactic antibiotic use in class Ⅰ incision surgery,which may help to optimize antibiotics management.
关键词
Ⅰ类切口手术/抗菌药物/PDCA循环/老年患者Key words
Class Ⅰ incision surgery/Antibiotics/PDCA cycle/Elderly patients引用本文复制引用
出版年
2024
NETL
NSTL
维普
万方数据