首页|基于熵权TOPSIS法综合评价应用PDCA法管控抗菌药物的成效——以某三甲医院为例

基于熵权TOPSIS法综合评价应用PDCA法管控抗菌药物的成效——以某三甲医院为例

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目的 探讨某三甲医院构建抗菌药物科学化管理策略与实施成效，为医疗机构加强抗菌药物管理提供参考依据。方法 使用计划、执行、检查、处理(PDCA)管理工具，构建科学有效的抗菌药物管理系统，选取抗菌药物管理相关5个维度、14个指标构建质量评价考核体系，并采用熵权逼近理想解排序法(TOPSIS)法对实施PDCA改进后各项指标的变化情况进行综合评价与分析。结果 基于熵权TOPSIS法分析，2018年的相对接近度(Ci)值为 0。313 5，该年抗菌药物管理质量最低;2022 年的Ci值为0。7474，该年抗菌药物管理质量最高。抗菌药物合理使用 5 个维度方面，使用强度维度2017 年Ci值最高;使用率维度 2021 年Ci值最高;送检率维度 2022 年Ci值最高;I类切口预防用药维度 2022 年Ci值最高;住院患者抗菌药物费用维度 2022 年Ci值最高。应用PDCA法进行抗菌药物管理，管理质量整体呈现改善趋势。结论 基于PDCA法通过多部门协作进行抗菌药物管理干预效果显著，熵权TOPSIS法可用于评价抗菌药物管理成效，为医院抗菌药物管控方向指导及政策制定提供参考。
Comprehensive evaluation based on entropy weighted TOPSIS of the management quality of antimicrobial stewardship after application of PDCA cycle——taking a tertiary hospital as an example
Objective To explore the strategy of constructing a scientific management system for antibiotics in a tertiary hospital,and to provide reference to strengthen the management and rational use of antibiotic.Methods Using PDCA management tools to build a scientifically effective antimicrobial drug management system.Evaluation of management quality of antimicrobial stewardship was constructed by 14 indicators of 5 dimensions.The entropy weight TOPSIS method was used to comprehensively evaluate and analyze the changes in various indicators after the implementation of PDCA improvement.Results Based on the entropy weight TOPSIS analysis,the management quality of antibiotics in 2018 was the lowest with the Ci value 0.313 5,and the management quality of antibiotics in 2022 was the highest with the Ci value 0.747 4.The evaluation of antimicrobial stewardship was divided into five dimensions:for the evaluation of antibiotics use density,the Ci value in 2017 was highest;for the evaluation of antibiotics usage rate,the Ci value in 2021 was the highest;for the evaluation of the submission rate before use of antibiotics,the Ci value in 2022 was the highest;for the evaluation of preventive medication for type I incisions,the Ci value was highest in 2022;the evaluation of the cost dimension of antibiotics for hospitalized patients showed the highest Ci value in 2022.The application of PDCA method for antibiotics management had shown an overall improvement trend.Conclusion Based on PDCA method,collaboration through multiple departments for antibiotics management had achieved significant results.The entropy weight TOPSIS method can be used to evaluate the effectiveness of antibiotics management,to provide reference for the direction of hospital antibiotics control and policy formulation.

Antimicrobial stewardshipPlan、do、check、act cycleEntropy weighted technique for order preference by similarity to ideal solutionComprehensive evaluation

章登政、姜琼、张聪子、饶志威

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咸宁市中心医院(湖北科技学院附属第一医院)药学部(湖北咸宁 437199)

抗菌药物管控 计划、执行、检查、处理法 熵权逼近理想解排序法 综合评价

湖北省自然科学基金面上项目咸宁市中心医院科研基金项目咸宁市中心医院科研基金项目

2020CFB8682018XYTS0022018XYTS004

2024

10.12173/j.issn.1008-049X.202312135

中国药师
国家药品监督管理局高级研修学院,武汉医药（集团）股份有限公司

中国药师

CSTPCD
影响因子：0.944
ISSN：1008-049X
年,卷(期)：2024.27(2)
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