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目的为降低天津市第四医院急诊科人均药品费用和抗菌药物单张处方金额。方法采用回顾性分析方法,将PDCA循环管理法实施前2016年7-12月的急诊处方作为对照组,PDCA循环管理法实施后2017年1-6月的急诊处方作为观察组,比较两组患者处方的使用药物情况,并计算处方相关指标,比较实施PDCA循环管理前后患者单张处方金额、抗菌药物处方金额、抗菌药物联合用药率等各项指标情况。结果实施PDCA循环管理后,患者单张处方金额由109.87元下降至97.43元,抗菌药物单张处方金额由173.06元下降至148.65元,抗菌药物联合用药率从15.22%下降至11.54%,抗菌药物使用率略有提高。结论应用PDCA循环管理法对急诊科药物进行管理,有利于降低患者个人药品费用和抗菌药物费用的,有利于降低抗菌药物的联合使用。
The purpose is to reduce per capita drug costs and antibacterial drug prescriptions in the emergency department of the Fourth Hospital of Tianjin. Methods A retrospective analysis method was used to compare the emergency prescriptions before July, December and December, 2016 in the PDCA cycle management method as the control group and the emergency prescriptions in the January-June 2017 after the implementation of the PDCA cycle management law as the observation group. The patients in the two groups were compared Prescriptions, and calculate the prescription-related indicators, compare the implementation of PDCA cycle management patients prescription leaflets amount, the amount of antibacterial drugs prescription, antimicrobial drug rates and other indicators of the situation. Results After the implementation of PDCA cycle management, the amount of patient prescriptions decreased from RMB 109.87 to RMB 97.43. The amount of prescriptions for antimicrobial drugs decreased from RMB 173.06 to RMB 148.65. The combined use rate of antimicrobial agents decreased from 15.22% to 11.54%. Antibiotic use Rate slightly increased. Conclusions The management of emergency department medicine by PDCA cycle management method will help to reduce the cost of personal medicines and antimicrobial drugs, which will help reduce the joint use of antimicrobial agents.