| 陈伟,方宇.某三甲医院实施品管圈活动前后1200例清洁手术抗菌药物使用情况分析[J].中国药事,2018,32(1):142-149 |
| 某三甲医院实施品管圈活动前后1200例清洁手术抗菌药物使用情况分析 |
| Analysis of the Use of Antibiotics in 1200 Cases of Aseptic Operation Before and After the Implementation of Quality Control Circle Activities in a Tertiary Hospital |
| 投稿时间：2017-07-11 |
| DOI：10.16153/j.1002-7777.2018.01.024 |
| 中文关键词: 品管圈 围手术期 抗菌药物 Ⅰ类切口手术 合理用药 |
| 英文关键词: quality control circle perioperative period antibiotics type I incision surgery rational drug use |
| 基金项目:西安交通大学“青年拔尖人才支持计划”项目；西安交通大学青年教师跟踪支持项目（编号2015qngz05） |
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| 中文摘要: |
| 目的：分析商洛市中心医院在实施品管圈活动前后围手术期抗菌药物的应用情况，探讨品管圈活动在围手术期预防应用抗菌药物管理中的效果，促进合理用药。方法：随机抽取商洛市中心医院实施品管圈活动前（2015年6-12月）、实施品管圈活动后（2016年6-12月）各600份有效清洁手术病历，运用品管圈方法，对围手术期预防用药过程中出现的不合理现象进行统计分析，制定相应的防范措施，分析品管圈活动的实施效果。结果：通过开展品管圈活动，Ⅰ类切口抗菌药物预防使用率由67.3%下降到36.8%；给药时机合理率由79.7%提高到96.5%；术后使用疗程合理率由43.6%提高到75.3%；抗菌药物品种选择合理率由57.2%提高到89.2%。冠状动脉造影术及支架植入术预防用药率由100%降低到0%。结论：实施品管圈活动，明显提高了我院围手术期抗菌药物合理使用率，对促进医院安全、有效、经济及合理地使用抗菌药物起到了积极的推动作用。 |
| 英文摘要: |
| Objective: To analyze the application of antibiotics in the perioperative period before and after the implementation of quality control circle (QCC) activities in Shangluo Central Hospital, and to explore the effect of QCC activities in the prophylactic management of antibiotics in the perioperative period so as to promote the rational drug use. Methods: Medical records of 600 cases of aseptic operation in Shangluo Central Hospital before the implementation of QCC (from June 2015 to December 2015) and medical records of 600 cases after the implementation of QCC (from June 2016 to December 2016) were randomly selected. The unreasonable phenomena of prophylactic medication during the perioperative period were statistically analyzed by using the method of QCC. The corresponding preventive measures were taken to analyze the effect of the QCC activities. Results: After the QCC activities, prophylactic use of antibiotics in type I incision decreased from 67.3% to 36.8% and the reasonable rate of administration timing increased from 79.7% to 96.5%. Moreover, the reasonable rate of postoperative treatment increased from 43.6% to 75.3% and the reasonable rate of antibiotics selection increased from 57.2% to 89.2%. The prophylactic administration rate of coronary angiography and stent implantation reduced from 100% to 0%. Conclusion: The implementation of QCC activities is able to significantly improve the rational use rate of antibiotics in the perioperative period, which will promote the safe, effective, economical and rational use of antibiotics. |
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