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Rational use of human albumin: plan-do-check-act cycle in clinical practice

Xiaowei Huang1, Xuehui Jiang1, Fangfang Xiong2

  • 1Department of Pharmacy, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, Fujian, China.

BMJ Supportive & Palliative Care
|January 21, 2025
PubMed

Insights

The plan-do-check-act (PDCA) cycle significantly improved human albumin (HA) use in hospitals. This quality improvement strategy increased rational HA prescription rates and optimized patient care.

Area of Science:

  • Clinical Medicine
  • Healthcare Management
  • Quality Improvement

Background:

  • Improper use of human albumin (HA) is a prevalent issue in clinical practice.
  • Ensuring rational HA administration is crucial for patient outcomes and resource management.

Purpose of the Study:

  • To evaluate the feasibility and effectiveness of the plan-do-check-act (PDCA) cycle in promoting the rational use of human albumin.
  • To assess the impact of a PDCA intervention on HA prescription patterns and patient care.

Main Methods:

  • A before-and-after control study design was employed.
  • The study compared a control group with an observation group that underwent the PDCA cycle.
  • Key metrics analyzed included serum albumin detection rates, HA usage, and prescription rationality.

Main Results:

  • The PDCA cycle intervention led to a significant increase in the rational use of HA, with prescription rates rising from 68.3% to 96.2%.
  • Serum albumin detection rates before HA application improved from 83.9% to 98.9%.
  • The median amount of HA used decreased by 20g, and the duration of use was shortened by 2 days, indicating more efficient utilization.

Conclusions:

  • The plan-do-check-act (PDCA) cycle is an effective strategy for promoting the rational use of human albumin in clinical settings.
  • Implementing PDCA cycles can lead to improved healthcare quality and resource optimization.
Abstract

Keywords:
Clinical assessmentClinical decisionsDrug administrationMethodological research

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