基于PDCA循环法及FMEA提高病原学送检率及抗菌药物合理使用的改进效果分析OA

Objective To verify the effectiveness of PDCA cycle method and FMEA in improving the pathogenic inspection rate of hospitalized patients before treatment with antibiotics in our hospital and promoting rational use of antibiotics.Methods The pathogenic inspection and antibiotic use of patients with therapeutic use of antibiotics in our hospital from January to March 2022(control group)and January to March 2023(intervention group)were selected.The control group was given clinical routine intervention method,and the intervention group was given PDCA cycle method and FMEA continuous intervention method.The pathogenic inspection rate,utilization rate of antibiotics and combined use of antibiotics were compared between the two groups.Results The pathogenic inspection rates of therapeutic antibiotics and therapeutic restricted antibiotics before treatment in the intervention group were higher than those in the control group(P＜0.05),but there was no significant difference in the rate of pathogenic examination before treatment between the two groups(P＞0.05).The utilization rate of therapeutic antibiotics in the intervention group was higher than that in the control group(P＜0.05).The proportion of one-drug antibiotics in the intervention group was higher than that in the control group,and the proportion of two-drug and three-drug antibiotics was lower than that in the control group(P＜0.05).The proportion of prophylactic use of antibiotics in the intervention group was lower than that in the control group,and the proportion of therapeutic use of antibiotics was higher than that in the control group(P＜0.05).Conclusion Through the PDCA cycle method and FMEA,the pathogenic inspection rate of hospitalized patients before treatment with antibiotics in our hospital has significantly increased,and the use of antibiotics is tending to be rationalized.