CAJ | 학술논문

目的：评价PDCA循环干预对我院合理用药指标的影响。方法采用全样本法统计我院2012年5~6月（干预前）与2012年10~11月、2013年4~5月、2013年10~11月（干预后）我院的合理用药指标值，分析评价PDCA循环干预对我院合理用药指标的影响。结果我院就诊使用抗菌药物的百分率从干预前的39.70%降至干预后的20.50%，差异有统计学意义（P＜0.05），抗菌药物使用强度[DDD/（100人·d）]从干预前的60.63降至干预后的46.73，差异有统计学意义（P＜0.05），住院患者使用抗菌药物的百分率、住院用抗菌药物患者病原学检查百分率均达有关要求。结论 PDCA质量控制管理模式干预临床用药能收到良好效果。
목적：평개PDCA순배간예대아원합리용약지표적영향。방법채용전양본법통계아원2012년5~6월（간예전）여2012년10~11월、2013년4~5월、2013년10~11월（간예후）아원적합리용약지표치，분석평개PDCA순배간예대아원합리용약지표적영향。결과아원취진사용항균약물적백분솔종간예전적39.70%강지간예후적20.50%，차이유통계학의의（P＜0.05），항균약물사용강도[DDD/（100인·d）]종간예전적60.63강지간예후적46.73，차이유통계학의의（P＜0.05），주원환자사용항균약물적백분솔、주원용항균약물환자병원학검사백분솔균체유관요구。결론 PDCA질량공제관리모식간예림상용약능수도량호효과。
Objective To evaluate the effect of PDCA intervention on rational drug use in our hospital. Methods The working sample method was adopted to analyze the indicators of rational drug use in our hospital in pre-intervention period(May to June 2012)and 3 post -intervention periods(October to November 2012, April to May 2013, and October to November 2013), for the purpose of determining the effect of PDCA intervention on the rational drug use in our hospital. Results The use of antimicrobial drugs in our hospital was dropped significantly from 39.70%(pre-intervention) to 20.50%(post-intervention, P < 0.05). The dose of antimicrobial drug [DDD/(100 person·day)] was also dropped significantly from 60.63(pre-intervention) to 46.73(post-intervention, P<0.05). In addition, the positive rate of antibiotics use for hospitalized patients and positive rate of these patients reached certain requirements. Conclusion The PDCA quality control management mode elicits good results on intervention of clinical drug use.