检验医学与临床2024，Vol.21Issue(1)：53-56,4.DOI:10.3969/j.issn.1672-9455.2024.01.012
PDCA循环管理模式运用于神经内科病原学送检管理的效果
Effect of PDCA cycle management model in neurological pathogenic submitting detection management
摘要
Abstract
Objective To investigate the application effect of the plan do check action(PDCA)cycle man-agement model in the pathogenic submitting detection management before antimicrobial drug treatment in the neurology department.Methods A total of 10 921 inpatients in the department of neurology of one class 3A general hospital were selected,in which July 2020 to June 2021 was the period before intervention and July 2021 to June 2022 was the period after intervention(starting to use the PDCA management model for manag-ing the pathogenic submitting detection before antibiotic therapy).The pathogenic submitting detection rate,pathogenic submitting detection rate of pathogen-specific,proportion of sterile microbial specimens,proportion of respiratory tract microbial specimens,use rate of antibacterial drugs,proportion of medication purpose in antibacterial drugs,pathogenic submitting detection rate before combination use of emphasis antibacterial drugs and the rate of pathogenic submitting detection relating to nosocomial infection diagnosis etc.were com-pared between 1 year before and after intervention.Results After the intervention,the rate of pathogenic sub-mitting detection rate for pathogen-specific before antimicrobial therapy in the neurology department was in-creased compared with before the intervention(64.83％vs.55.03％),the proportion of sterile microbial specimens was increased compared with before the intervention(60.98％vs.53.94％),the proportion of re-spiratory tract microbial specimens was decreased compared with before the intervention(29.37％vs.37.88％),the use rate of antimicrobial drug was decreased compared with before the intervention(12.74％vs.14.47％),and the proportion of preventive use of antimicrobial drugs was decreased compared with before the intervention(7.91％vs.11.48％),and the differences were statistically significant(P＜0.05).Conclusion The use of PDCA management model can improve the quality of pathogenic submitting detection before antimicrobial drug treatment.关键词
PDCA/神经内科/抗菌药物/病原体/送检Key words
PDCA/internal medicine-neurology/antibacterial drugs/pathogen/submitting detec-tion分类
医药卫生引用本文复制引用
申思蓉,吴晓英..PDCA循环管理模式运用于神经内科病原学送检管理的效果[J].检验医学与临床,2024,21(1):53-56,4.基金项目
重庆市永川区科学技术协会决策咨询课题(Yckx.2020038) （Yckx.2020038）
研究生创新创业基金项目(YJSCX202209). （YJSCX202209）
