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目的分析PDCA循环管理对普外科围术期抗菌药物预防应用的情况。方法利用医院信息系统分析应用PDCA(计划、实施、检查、处理)循环管理前后围术期抗菌药物预防使用情况。结果运用PDCA循环管理后,普外科围术期无适应证用药,药物选择不合理,术前用药时机不合理,用法、用量、溶媒不合理,更换药物不合理,联合用药不合理,疗程不合理,出院带药不合理发生率均逐年降低,差异均有统计学意义(P<0.05)。运用PDCA循环管理后,普外科围术期抗菌药物使用率、清洁手术预防用药使用率、使用强度均逐年下降,差异均有统计学意义(P<0.05)。结论 PDCA循环管理法用于普外科抗菌药物管理成效显著,可在医院大范围推广运用。
Objective To analyze the preventive and therapeutic effects of PDCA cycle management on perioperative antibiotics in general surgery. Methods The hospital information system was used to analyze the preventive and therapeutic use of perioperative antibacterials before and after PDCA (plan, implement, check, process) cycle management. Results After PDCA cycle management, there was no indications for perioperative period in general surgery, irrational drug selection, irrational timing of preoperative medication, usage, dosage, unreasonable solvent, unreasonable drug replacement, unreasonable combination therapy and unreasonable course of treatment , The unacceptable rates of discharge with medication were decreased year by year, the differences were statistically significant (P <0.05). The use of PDCA cycle management, general surgery perioperative antibacterial drug use, the use of clean surgical prophylaxis, the intensity of use decreased year by year, the differences were statistically significant (P <0.05). Conclusion PDCA cycle management method is effective in general surgical management of antimicrobial agents and can be widely used in hospitals.