精益六西格玛作为管理工具有助于在医院环境中标准化抗菌剂的使用
Qian Wang1, Xinru Han1, Xiang Zhang1
1Department of Pharmacy, Central Hospital Affiliated to Shandong First Medical University, Jinan City, Shandong Province, 250013, People's Republic of China.
实施精益六西格玛 (LSS) -DMAIC模型显著减少了中国一家医院的非理性抗菌药物使用. 这一抗菌药物管理计划降低了非标准的利用率和相关成本,改善了患者的护理.
科学领域:
- 医疗保健管理的管理
- 临床药房 临床药房
- 提高质量 提高质量
背景情况:
- 抗菌药物的不合理使用在医院环境中构成了重大挑战.
- 标准化抗菌剂的使用对于有效的患者护理和打击抗菌素耐药性至关重要.
研究的目的:
- 为了在医院环境中标准化抗菌剂的使用.
- 通过实施精益六西格玛 (LSS) - DMAIC模型来解决抗菌药物的非理性使用问题.
主要方法:
- 进行了对2020年1月至2021年12月抗菌药物使用数据的回顾性分析.
- 精益六西格玛 (LSS) -DMAIC框架 (定义,测量,分析,改进,控制) 被一个由临床药剂师和医疗保健专业人员组成的项目团队应用.
- 评估了抗生素的使用和遵守指南.
主要成果:
- 抗菌药物的非标准利用率从32.5%降至11.3% (P < 0.0001).
- 抗菌药物使用强度降至38.82定义每日剂量 (DDDs),符合国家标准.
- 每位住院患者的抗菌药物的平均成本大幅下降,从而每年节省大量资金.
结论:
- 精益六西格玛 (LSS) -DMAIC模型有效地改善了抗菌药物的合理使用.
- 这个模型显示了作为一种有价值的管理工具的潜力,在医疗保健环境中用于抗菌药物管理.
- 需要持续努力来保持改进,并加强临床医生对最佳实践的坚持.
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