Evaluation of Effectiveness of PDCA Cycle Method in the Improvement of the Rational Use of Intravenous Infusion in Inpatients
Objective To improve the rational use of intravenous infusion in inpatients.Methods The PDCA cycle method was used to control the use of intravenous infusion in the hospital.Data on the use of intravenous infusion in inpatients were collected from the Xiamen Branch of Zhongshan Hospital,Fudan University from January to June 2022(before the implementation of PDCA)and from January to June 2023(after the implementation of PDCA).The control effect was evaluated with the utilization rate of intravenous infusion,the average daily amount of intravenous infusion per bed,and the average daily volume of intravenous infusion per bed of inpatients as main indicators,and with the utilization rate of intravenous infusion in non-surgical inpatients,and the utilization rate of antibiotics,antiemetic drugs,traditional Chinese medicine injections,proton pump inhibitors(PPIs),and parenteral nutrition solution intravenous infusion in inpatients as the auxiliary indicators.Results After the implementation of PDCA,the main indicators showed an overall downward trend,with an average daily volume of 383.75 mL per bed for inpatients,which was significantly lower than 683.11 mL before the implementation of PDCA(P<0.05).In the auxiliary indicators,the utilization rate of intravenous infusion in non-surgical inpatients and the utilization rate of intravenous infusion of antibiotics and antiemetic drugs in inpatients were lower than those before the implementation of PDCA,and the utilization rate of intravenous infusion of antiemetic drugs in inpatients significantly reduced(P<0.05).The usage rate of traditional Chinese medicine injections,PPIs,and parenteral nutrition solution intravenous infusion in inpatients showed an upward trend,but there was no significant difference(P>0.05).Conclusion The PDCA cycle method can effectively improve the use of intravenous infusion in inpatients and the rational drug use level.
PDCA cycle methodintravenous infusionrational drug useinpatientpharmaceutical administration