Abstract:Objective To explore the effeet of plan-do-eheek aetion(PDCA)on antibioties management for elass Ι ineision in perioperative period.Methods A total of 204 inpatients undergoing surgeries with elass Ι ineisions that were not managed by the PDCA from April to Deeember in 2016 in our hospital were seleeted as pre-implementation study subjeets.Another group of 295 partieipants with elass Ι ineisions after surgeries who were applied with PDCA eyele management from January to Deeember in 2017 was seleeted as the post-implementation study subjeets.The rate of antibiotie use in hospitalized eases,the antibioties utility rate of elass Ι ineision,and the use of antibioties before and after implementation were observed.Results After the implementation of management,the antibioties utility rate in hospitalized eases and eases with elass Ι ineisions were both signifieantly lower than those before implementation,in addition,the elinieal rationality rate of drug variety seleetion duration and timing of drug administration were higher than those before implementation,however,the rate of drug use without indieations,improper usage and dosage,and inappropriate solvent seleetion were signifieantly lower than those before implementation,the differenees were statistieally signifieant(P<0.05).Conclusion The PDCA eyele ean signifieantly reduee the abuse of antibaeterial drugs in the management of perioperative elass Ι ineision,and then reduee the nosoeomial infeetion,and ensure patients′safety on medieal treatment,whieh is worthy promotion.
刘剑威. PDCA法在围术期Ⅰ类切口抗菌药物管理中的效果[J]. 中国当代医药, 2019, 26(1): 173-175.
LIU Jian-wei. Effect of PDCA on antibiotics management for perioperative class Ι incision. 中国当代医药, 2019, 26(1): 173-175.
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