1、,抗 抗 帮,兵器工业五二一医院产一科QCC汇报,郑燕,QCC小组,兵器工业521医院,小组成员,主题选定,兵器工业521医院,主题选定,提高产科抗菌药物的合理使用率,减少滥用抗菌药物的不良反应减少耐药菌株的产生,1,2,3,主题选定理由,探索产科合理使用抗菌药物的新方法，指导临床,圈名的形成,圈名-意义-口号,圈名-意义-口号,兵器工业521医院,兵器工业521医院,兵器工业521医院,活动拟定计划表（甘特图）,工作流程图,围手术抗菌药物选择,术前皮试、医嘱,剖宫产,开 始,住院患者确定分娩方式,术中断脐后开始给药,术后预防性用药时间、剂量、途径,审查病历、医嘱,结 束,阴道分娩,统计患者用
2、药情况,术后预防性用药时间、剂量、途径,术后联合用药指征,术后延用抗菌药指征,术后更换抗菌药指征,现状调查,调查时间: 2015年02月08日03月 08日调查地点: 产一科调查方式: 查阅医嘱、化验单、病历，记录各个患者 围手术期抗菌药物的使用情况调 查 者: 全体圈员调查人次: 93人不合理用药人次: 17人不合理用药率: 18%,产科围手术期抗菌药物使用情况调查表（改善前）,抗菌药物不合理使用情况排列图（柏拉图）,目标值=现况值-改善值 =现况值-(现况值改善重点圈员能力)目标值=18-(1882.36%70%) = 8,改善目标,改善幅度为10%,目标示意图,抗菌药物不合理使用率高的原
3、因分析（鱼骨图）,抗菌药物不合理使用率高,患者盲目要求用药,给药方法不合理,用药时间不规范,细菌培养时间限制,选择抗菌药缺乏病原学依据,流程,流程不实用,责任心差,护士执行力度差,考核力度不够,手术室护士配合差,未及时停医嘱,病人太多，工作疏忽,低年资医生水平有限,培训效果差,没有认真学习指南,知识掌握不够,护士工作忙,病区护士不够重视,个人经济利益,知识掌握不全面,工作忙，没时间业务学习,未制定考核制度,护士工作量大,对策拟定,改善后数据收集,调查时间: 2015年05月16日06月 15日调查地点: 产一科调查方式: 查阅医嘱、化验单、病历，记录各个患者围手术期抗菌药物的使用情况调 查 者
4、: 全体圈员调查人次: 102不合理用药人次: 8不合理用药率: 7.8%,产科围手术期抗菌药物使用情况调查表（改善后）,抗菌药物不合理使用情况排列图（改善后柏拉图）,效果确认,改善前-改善后 目标达标率= 100% 改善前-目标值 18%- 7.8% 目标达标率= 100% =102% 18%-8%,效果确认,改善前-改善后 进步率= 100% 改善前 18%- 7.8% 进步率= 100% =56.7% 18%,无形成果,无形成果雷达图,标准化,标准化,标准化剖宫产手术常用预防用药预防用药推荐表,兵器工业521医院,检讨与改进,下一期主题选定,Thank You!,兵器工业521医院,20
5、15年上半年目标完成情况,2015年上半年目标完成情况,2015年下半年规划及打算,2015年下半年规划及打算,健全产科服务,2015年下半年规划及打算,人员培训考核,Thank You!,兵器工业521医院,Thank You!,Your company slogan in here,兵器工业521医院,Thank You!,Your company slogan in here,兵器工业521医院,Thank You!,Your company slogan in here,兵器工业521医院,提高抗菌药合理使用率,Add your text,Add your text,Add your
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