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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Abstract Full text Figures/Tables Video References Cited by

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.	中華人民共和國衛生部. 衛生部辦公廳關于做好全國抗菌藥物臨床應用專項整治活動的通知[EB/OL]. (2011-05-24)[2014-03-27]. http://www.gdwst.gov.cn/a/zcdt/201105278814.html.
2.	中華人民共和國衛生部, 國家中醫藥管理局, 總后衛生部. 抗菌藥物臨床應用指導原則[EB/OL]. (2004-08-19)[2014-03-27]. http://www.sfda.gov.cn/wyf04285/2004285.zip.
3.	劉庭芳, 劉勇. 中國醫院評審評價追蹤方法學操作手冊[M]. 北京:人民衛生出版社, 2012:136-139.
4.	葉冬青. 巢式病例對照研究的設計及分析[J]. 疾病控制雜志, 2001, 5(1):65-68.
5.	四川省衛生廳.2011年四川省抗菌藥物臨床應用專項整治活動實施方案[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.	劉庭芳, 劉勇. 中國醫院品管圈操作手冊[M]. 北京:人民衛生出版社, 2012:48-49.
7.	衛生部, 國家中醫藥管理局, 總后勤部衛生部. 醫療機構藥事管理規定[EB/OL]. (2011-01-30)(2014-03-27). http://www.gov.cn/zwgk/2011-03/30/content_1834424.htm.
8.	陳中英. 藥品分級管理制度對江蘇省盱眙縣人民醫院抗菌藥物應用的影響[J]. 藥學服務與研究, 2012, 12(3):224-227.
9.	馬立艷. 加強微生物檢驗醫師與臨床醫師的有效溝通[J]. 國際檢驗醫學雜志, 2011, 32(10):1138-1139.
10.	任小兵, 劉焱銀, 陳華麗, 等. 消毒供應中心醫院感染管理中實施PDCA的效果評估[J]. 華西醫學, 2012, 27(9):1302-1305.
11.	何洪靜, 張紅菊, 夏培元. 臨床藥師在抗菌藥物合理應用中的作用探討[J]. 中國藥房, 2011, 22(26):2408-2410.
12.	李廣權, 周衛東, 陳月潔, 等. 住院患者抗菌藥物使用及微生物標本送檢情況調查分析[J]. 國際檢驗醫學雜志, 2012, 33(4):447-449.

1. 中華人民共和國衛生部. 衛生部辦公廳關于做好全國抗菌藥物臨床應用專項整治活動的通知[EB/OL]. (2011-05-24)[2014-03-27]. http://www.gdwst.gov.cn/a/zcdt/201105278814.html.
2. 中華人民共和國衛生部, 國家中醫藥管理局, 總后衛生部. 抗菌藥物臨床應用指導原則[EB/OL]. (2004-08-19)[2014-03-27]. http://www.sfda.gov.cn/wyf04285/2004285.zip.
3. 劉庭芳, 劉勇. 中國醫院評審評價追蹤方法學操作手冊[M]. 北京:人民衛生出版社, 2012:136-139.
4. 葉冬青. 巢式病例對照研究的設計及分析[J]. 疾病控制雜志, 2001, 5(1):65-68.
5. 四川省衛生廳.2011年四川省抗菌藥物臨床應用專項整治活動實施方案[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. 劉庭芳, 劉勇. 中國醫院品管圈操作手冊[M]. 北京:人民衛生出版社, 2012:48-49.
7. 衛生部, 國家中醫藥管理局, 總后勤部衛生部. 醫療機構藥事管理規定[EB/OL]. (2011-01-30)(2014-03-27). http://www.gov.cn/zwgk/2011-03/30/content_1834424.htm.
8. 陳中英. 藥品分級管理制度對江蘇省盱眙縣人民醫院抗菌藥物應用的影響[J]. 藥學服務與研究, 2012, 12(3):224-227.
9. 馬立艷. 加強微生物檢驗醫師與臨床醫師的有效溝通[J]. 國際檢驗醫學雜志, 2011, 32(10):1138-1139.
10. 任小兵, 劉焱銀, 陳華麗, 等. 消毒供應中心醫院感染管理中實施PDCA的效果評估[J]. 華西醫學, 2012, 27(9):1302-1305.
11. 何洪靜, 張紅菊, 夏培元. 臨床藥師在抗菌藥物合理應用中的作用探討[J]. 中國藥房, 2011, 22(26):2408-2410.
12. 李廣權, 周衛東, 陳月潔, 等. 住院患者抗菌藥物使用及微生物標本送檢情況調查分析[J]. 國際檢驗醫學雜志, 2012, 33(4):447-449.

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The Effectiveness Evaluation of Antibiotics Management by Applying PDCA Cycle Model

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