CAJ | 학술논문

目的：探讨PDCA 循环管理干预特殊使用级抗菌药物临床使用的效果，促进抗菌药物的合理应用。方法运用PDCA循环理论进行现状分析、找出原因、确定目标、制定对策并实施干预。将我院实施PDCA 循环前2013年第一季度与实施PDCA循环后2013年第二季度的特殊使用级抗菌药物临床使用情况进行比较分析。结果经过PDCA 循环干预阶段后，特殊使用级抗菌药物样本送检率由80%升至99.2%；请专家会诊率由47.4%升至99.5%；高级职称医师开嘱率由61%升至98.6%；干预前后特殊使用级抗菌药物使用的合理率分别为63%和94%。结论 PDCA 循环管理能有效促进特殊使用级抗菌药物的合理应用，可在抗菌药物管理中推广应用。
목적：탐토PDCA 순배관리간예특수사용급항균약물림상사용적효과，촉진항균약물적합리응용。방법운용PDCA순배이론진행현상분석、조출원인、학정목표、제정대책병실시간예。장아원실시PDCA 순배전2013년제일계도여실시PDCA순배후2013년제이계도적특수사용급항균약물림상사용정황진행비교분석。결과경과PDCA 순배간예계단후，특수사용급항균약물양본송검솔유80%승지99.2%；청전가회진솔유47.4%승지99.5%；고급직칭의사개촉솔유61%승지98.6%；간예전후특수사용급항균약물사용적합리솔분별위63%화94%。결론 PDCA 순배관리능유효촉진특수사용급항균약물적합리응용，가재항균약물관리중추엄응용。
Objective To explore the method of management of the rational use of specific antibiotics. Methods Apply the PDCA cycle to establish the rational use of antimicrobial drugs management system, play a clinical pharmacist supervision, guidance role, analyze the dif erence of the usage of specific antimicrobial after PDCA cycle was completed. Results Before and after the intervention, the ratio of rational usage of specific antibiotics increased from 63% to 94%, and the bacterial examination rate increased from 80%to 99.2%, the consultation rate increased from 47.4%to 99.5%, the advanced academic titles prescribing rate increased from 61%to 98.6%, the dif erence was statistical y significant. Conclusion Use the PDCA cycle management of clinical antimicrobial use, promoting the management level, to improve antimicrobial Clinical reasonable level of application.