以PDCA循环理论为基础的抗菌药物使用强度管理模式

A Management Model for Antibiotic Use Intensity Based on the PDCA Cycle Theory

摘要: 目的：以PDCA循环理论为基础，以提高服务质量为目的，探索实践抗菌药物使用强度管理工作模式，提升抗菌药物合理用药水平。方法：以PDCA理论的计划、执行、检查、处理循环程序为依据，以医院住院患者抗菌药物使用强度达标值作为标的，对医院抗菌药物使用进行全流程管理与控制。结果：依靠PDCA循环，建立临床使用抗菌药物全过程管理，防堵管理漏洞缺口，强化责任分工，有效降低了医院住院患者抗菌药物使用强度，提高了医院抗菌药物使用管理水平，工作缺陷率明显降低。结论：以PDCA循环理论为基础实施的抗菌药物使用强度管理模式，促进了抗菌药物使用管理的规范化和科学化。

Abstract: Objective: Based on the PDCA cycle theory and aimed at improving service quality, this study explores and practices a management model for the antimicrobial use density to enhance the level of rational use of antimicrobial agents. Methods: Based an the Plan-Do-Check-Act (PCDA) cycle procedures, and taking the compliance value of antimicrobial use density among inpatients as the target, we implemented full process management and control of antimicrobial use in hospital. Results: Through the PDCA cycle, we established a whole process management system for clinical antimicrobial use, plugged management loopholes, strengthened the division of responsibilities, effectively reduced the antimicrobial use density among inpatients, improved the management level of the antimicrobial use, and reduced the work defect rate significantly. Conclusion: The antimicrobial use density management model implemented based on the PDCA cycle theory has promoted the standardization and scientification of antimicrobial use management.