The Effectiveness Evaluation of Antibiotics Management by Applying PDCA Cycle Model_West China Medical Journal

Authors：

 RENXiao-bing ¹ , YUPing ¹ , ZHENGGao-feng ² , HEXue-ping ¹ , LIUYan-yin ¹

1. Department of Medical Quality Management, Jianyang People's Hospital, Jianyang, Sichuan 641400, P. R. China;
2. Department of Pharmacy;Jianyang People's Hospital, Jianyang, Sichuan 641400, P. R. China;

Corresponding author：

Keywords：

PDCA cycle management model; Antimicrobial drug use intensity; Effectiveness; Analysis

DOI：

10.7507/1002-0179.20150065

Video：

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Objective To analyze the effectiveness of PDCA cycle model in antibiotics management by comparison of antibiotics use before and after the use of PDCA in a tertiary hospital. Methods Prospective study was adopted to analyze the using rate of antibiotics in outpatients, emergent patients and inpatients between June 2011 and December 2013. Results The reasonable antibiotics use was improved since the beginning of PDCA cycle model. The antibiotics using rates of outpatients were 33.00%, 29.09% and 19.31%, of emergent patients were 45.00%, 32.81% and 28.94%, and of inpatients were 71.00%, 57.76% and 53.28% in year 2011 (from June to December), 2012 (from January to December) and 2013 (from January to December) respectively. Meanwhile, ClassⅠ incision antimicrobial use also decreased and bacteria examination rate continuously increased during the last three years. As a consequence, patients' cost was reduced. Conclusion The PDCA cycle model promotes the standardized management of clinical medication application.

Citation： RENXiao-bing, YUPing, ZHENGGao-feng, HEXue-ping, LIUYan-yin. The Effectiveness Evaluation of Antibiotics Management by Applying PDCA Cycle Model. West China Medical Journal, 2015, 30(2): 207-210. doi: 10.7507/1002-0179.20150065 Copy

1.	中华人民共和国卫生部. 卫生部办公厅关于做好全国抗菌药物临床应用专项整治活动的通知[EB/OL]. (2011-05-24)[2014-03-27]. http://www.gdwst.gov.cn/a/zcdt/201105278814.html.
2.	中华人民共和国卫生部, 国家中医药管理局, 总后卫生部. 抗菌药物临床应用指导原则[EB/OL]. (2004-08-19)[2014-03-27]. http://www.sfda.gov.cn/wyf04285/2004285.zip.
3.	刘庭芳, 刘勇. 中国医院评审评价追踪方法学操作手册[M]. 北京:人民卫生出版社, 2012:136-139.
4.	叶冬青. 巢式病例对照研究的设计及分析[J]. 疾病控制杂志, 2001, 5(1):65-68.
5.	四川省卫生厅.2011年四川省抗菌药物临床应用专项整治活动实施方案[EB/OL]. (2011-06-21)[2014-03-27]. http://www.scwst.gov.cn/index.php/2012-07-24-12-51-52/3176-2011-08-08-06-47-06.
6.	刘庭芳, 刘勇. 中国医院品管圈操作手册[M]. 北京:人民卫生出版社, 2012:48-49.
7.	卫生部, 国家中医药管理局, 总后勤部卫生部. 医疗机构药事管理规定[EB/OL]. (2011-01-30)(2014-03-27). http://www.gov.cn/zwgk/2011-03/30/content_1834424.htm.
8.	陈中英. 药品分级管理制度对江苏省盱眙县人民医院抗菌药物应用的影响[J]. 药学服务与研究, 2012, 12(3):224-227.
9.	马立艳. 加强微生物检验医师与临床医师的有效沟通[J]. 国际检验医学杂志, 2011, 32(10):1138-1139.
10.	任小兵, 刘焱银, 陈华丽, 等. 消毒供应中心医院感染管理中实施PDCA的效果评估[J]. 华西医学, 2012, 27(9):1302-1305.
11.	何洪静, 张红菊, 夏培元. 临床药师在抗菌药物合理应用中的作用探讨[J]. 中国药房, 2011, 22(26):2408-2410.
12.	李广权, 周卫东, 陈月洁, 等. 住院患者抗菌药物使用及微生物标本送检情况调查分析[J]. 国际检验医学杂志, 2012, 33(4):447-449.

1. 中华人民共和国卫生部. 卫生部办公厅关于做好全国抗菌药物临床应用专项整治活动的通知[EB/OL]. (2011-05-24)[2014-03-27]. http://www.gdwst.gov.cn/a/zcdt/201105278814.html.
2. 中华人民共和国卫生部, 国家中医药管理局, 总后卫生部. 抗菌药物临床应用指导原则[EB/OL]. (2004-08-19)[2014-03-27]. http://www.sfda.gov.cn/wyf04285/2004285.zip.
3. 刘庭芳, 刘勇. 中国医院评审评价追踪方法学操作手册[M]. 北京:人民卫生出版社, 2012:136-139.
4. 叶冬青. 巢式病例对照研究的设计及分析[J]. 疾病控制杂志, 2001, 5(1):65-68.
5. 四川省卫生厅.2011年四川省抗菌药物临床应用专项整治活动实施方案[EB/OL]. (2011-06-21)[2014-03-27]. http://www.scwst.gov.cn/index.php/2012-07-24-12-51-52/3176-2011-08-08-06-47-06.
6. 刘庭芳, 刘勇. 中国医院品管圈操作手册[M]. 北京:人民卫生出版社, 2012:48-49.
7. 卫生部, 国家中医药管理局, 总后勤部卫生部. 医疗机构药事管理规定[EB/OL]. (2011-01-30)(2014-03-27). http://www.gov.cn/zwgk/2011-03/30/content_1834424.htm.
8. 陈中英. 药品分级管理制度对江苏省盱眙县人民医院抗菌药物应用的影响[J]. 药学服务与研究, 2012, 12(3):224-227.
9. 马立艳. 加强微生物检验医师与临床医师的有效沟通[J]. 国际检验医学杂志, 2011, 32(10):1138-1139.
10. 任小兵, 刘焱银, 陈华丽, 等. 消毒供应中心医院感染管理中实施PDCA的效果评估[J]. 华西医学, 2012, 27(9):1302-1305.
11. 何洪静, 张红菊, 夏培元. 临床药师在抗菌药物合理应用中的作用探讨[J]. 中国药房, 2011, 22(26):2408-2410.
12. 李广权, 周卫东, 陈月洁, 等. 住院患者抗菌药物使用及微生物标本送检情况调查分析[J]. 国际检验医学杂志, 2012, 33(4):447-449.

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