摘要
目的 验证运用线上线下沉浸式督导提高抗菌药物治疗前病原学送检率的效果.方法 于2022年1月开始实施线上线下沉浸式督导模式提高抗菌药物治疗前病原学送检率专项行动,调查2021年、2022年和2023年三个阶段的送检率相关数据进行比较.结果 实施线上线下沉浸式督导后,抗菌药物治疗前病原学送检率、联合使用重点药物前病原学送检率、医院感染诊断相关病原学送检率、血、尿、痰培养标本送检率、指向性和非指向性病原学送检率督导前分别为 25.03％、12.91％、69.80％、11.81％、3.31％、9.85％、22.84％、3.79％,督导后第1年和督导后第 2年分别提升至 62.95％、32.84％、92.96％、13.58％、4.12％、11.73％、42.07％、47.00％和72.34％、86.31％、94.67％、14.53％、4.52％、20.50％、52.36％、55.31％,差异均有统计学意义(P＜0.05).结论 应用线上线下沉浸式督导模式,借助信息化平台,实时监测科室送检情况,能有效提高住院患者抗菌药物治疗前病原学送检率,对规范抗菌药物合理使用有实践意义.
Abstract
OBJECTIVE To validate the effectiveness of using on-line and off-line immersion supervision to improve the rate of antimicrobial pre-treatment pathogenetic delivery.METHODS In Jan.2022,a special initiative to im-prove the rates of antimicrobial pre-treatment pathogenetic delivery by implementing an online and offline immer-sion supervision model was started.The data related to the delivery rate in the three phases of the survey,2021,2022 and 2023,were compared.RESULTS After the implementation of online-offline immersive supervision,the rates of antimicrobial drug pre-treatment pathogenicity delivery,combined use of key drugs pre-pathogenicity de-livery,hospital infection diagnosis-related pathogenicity delivery,blood,urine and sputum culture specimen deliv-ery,directed and non-directed pathogenicity delivery were 25.03％,12.91％,69.80％,11.81％,3.31％,9.85％,22.84％,and 3.79％,respectively,before supervision,and increased to 62.95％,32.84％,92.96％,13.58％,4.12％,11.73％,42.07％,47.00％and 72.34％,86.31％,94.67％,14.53％,4.52％,20.50％,52.36％,55.31％,respectively,in the first year and the second year post supervision,and the difference was sta-tistically significant(P＜0.05).CONCLUSION The application of on-line and off-line immersive supervision mode,with the help of information technology platform,real-time monitoring of departmental delivery,could ef-fectively improve the rate of inpatient antimicrobial drug pre-treatment pathogenicity delivery,which was of prac-tical significance for the standardization of the rational use of antibacterial drugs.
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