摘要
目的:采用品管圈活动的形式,旨在提高围手术期抗菌药物预防应用时间的合理率。方法:成立品管圈活动小组,确立活动主题,回顾性分析2015年1月至6月病历点评中手足外科围手术期预防使用抗菌药物存在的问题,探讨导致不合理应用的原因,设立目标及制定整改措施,与2015年7月至12月开展品管圈活动后手足外科围手术期抗菌药物合理应用情况进行比较。结果:通过开展品管圈活动,手足外科抗菌药物围手术期预防应用时间合理率由85.6%提高到96.7%(χ2=26.18,P<0.001)。结论:在围手术期预防应用抗菌药物管理中推行品管圈活动,能不断发现和解决工作中存在的问题,提高抗菌药物的合理应用,同时促进品管圈成员熟练掌握和应用质量管理工具。
Objective: To improve the reasonable rates of preventive time of antimicrobial agents by using quality control circle(QCC) during perioperative period in the department of hand and foot surgery. Methods: Firstly, the QCC group was established, and then "improving the preventive time rates of antimicrobial agents during perioperative period in the department of hand and foot surgery" was determined as the subject. Hospitalized patients from January to June of 2015 were used as control group and hospitalized patients from July to December of 2015 were used as observation group. Major factors as well as corrective measures were analyzed. Results: The reasonable rates of preventive time of antimicrobial agents increased from 85.6% to 96.7%(χ2=26.18, P<0.001) by using QCC during perioperative period. Conclusion: QCC activities have played a positive role in enhancing the reasonable rates of preventive time during perioperative period in the department of hand and foot surgery, and will continue to discover and solve problems. QCC activities can also encourage QCC members to proficiently master and apply quality management tools.
引文
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