【摘要】 目的以医院国际医疗卫生机构认证联合委员会(JCI)复评为契机,在全面贯彻JCI理念标准的前提下,探讨PDCA循环法降低抗菌药物使用强度(AUD)的效果。方法通过四川美康PASS临床药学管理系统收集鄂东医疗集团黄石市中心医院2018年1～11月全院抗菌药物使用强度数据值。组建PDCA小组,通过现状调查分析目前存在的问题,采用PDCA循环法结合JCI标准进行干预,对比干预前(2018年1～3月)、干预期(2018年5～7月)、干预后(2018年9～11月)数据变化情况。结果 PDCA循环实施后,抗菌药物使用强度由2018年1月的53.38下降至2018年11月的38.86,下降比例达27.20%,差异有统计学意义(P <0.05)。结论结合JCI标准分析抗菌药物使用中存在的强度偏高问题,运用PDCA循环法对有效降低抗菌药物使用强度具有显著效果,可以促进临床合理用药,保障患者用药安全。更多还原

【Abstract】 Objective To probe into the PDCA cycle method to reduce the effect of the use intensity of antibiotics(AUD), taking the opportunity of the hospital JCI re-examination and under the premise of fully implementing the JCI standard of the International Medical and Health Agency Certification Joint Commission. Methods The information on the AUD from January to November of 2018 of Huangshi Central Hospital, Edong Healthcare Group by the Sichuan Meikang PASS Clinical Pharmacy Management System were collected. The PDCA team was build, the current problems were analyzed through the current situation survey and the PDCA cycle method was implemented to intervene in conjunction with the JCI standard. The data in pre-control phase(from January to March 2018), control phase(from May to July 2018), and post-control phase(from September to November 2018) were compared. Results After implemented the PDCA cycle, the AUD was decreased from 53.38 in January 2018 to 38.86 in November 2018, with a decrease of27.20%, there was a statistically significant difference(P < 0.05). Conclusion Combined with the JCI standard to analyze the high AUD, the use of PDCA cycle method has a significant effect on effectively to reduce the AUD, which plays an important role in promoting clinical rational drug use and ensure patient drug safety.更多还原