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目的总结品管圈活动改善医院抗菌药物使用强度(AUD)的效果。方法实施品管圈对全院AUD偏离绝对值高的前8位科室进行干预,比较活动前后AUD的变化。结果干预前全院AUD、非手术科室AUD、手术科室AUD和AUD偏离绝对值高的前8位科室AUD分别为48.4、53.3、47.4和51.1DDDs/100人天;干预后分别降低为45.0、51.3、41.2和47.3DDDs/100人天。采取后续措施进行持续干预后,2015年全院AUD从2014年的42DDDs/100人天降低至41DDDs/100人天,基本达到预期目标。结论开展品管圈活动能有效改善医院抗菌药物管理质量。
Objective To summarize the effect of quality control ring activities on the improvement of hospital antimicrobial activity (AUD). Methods The quality control circle interfered with the AUD of the whole hospital from the first eight departments with high absolute value of deviation, comparing the changes of AUD before and after the activity. Results Before the intervention, AUD in the whole hospital, AUD in the non-surgical department, AUD in the operating department and AUD in the first 8 departments deviating from the absolute value were 48.4, 53.3, 47.4 and 51.1DDDs / 100 person days respectively; and were respectively reduced to 45.0 and 51.3 , 41.2 and 47.3DDDs / 100 person days. After taking follow-up measures for sustained intervention, the overall AUD of the hospital decreased from 42DDDs / 100 person days in 2014 to 41DDDs / 100 person days in 2014, basically reaching the expected target. Conclusion Carrying out quality control activities can effectively improve the quality of hospital antimicrobials management.