The application of quality control circle management in improving the timelyrate of antibiotic use before operation
品管圈管理在提高术前抗生素使用及时率的应用研究

摘要

目的 分析品管圈管理在提高术前抗生素使用及时率的应用效果。方法 2022年1月～6月实施品管圈管理，随机选取实施前后1个月内应用术前抗生素治疗患者各200例为研究对象，观察应用及时率。结果 实施后抗生素使用及时率为95.00%，大于实施前的74.00%，且术前准备合格率、手台手术准时开台率、抗生素使用合格率均高于实施前，差异有统计学意义。实施前200例患者中，发生切口感染患者5例，感染率为2.50%，实施后未出现切口感染病例，实施前后对比差异有统计学意义（P＜0.05）。实施后圈员能力评估总分（23.24±2.15）分，大于实施前的（16.16±2.05）分，包括团队精神、沟通协调、活动信心等均以实施后评分较高，差异有统计学意义（P＜0.05）。结论 品管圈管理的实施有利于提升术前抗生素使用及时率，对于保障抗生素合理应用也具有积极作用，具有推广价值。

Abstract

Objective To analyze the effect of quality control circle management in improving the timely rate of antibiotic use before operation.
Methods Quality control circle management was carried out from January to June 2022, and 200 patients were randomly selected to receive preoperative antibiotic treatment within 1 month before and after the implementation. The timely rate of application was observed.
Results The timely rate of antibiotic use was 95.00% after implementation, which was higher than that before implementation (74.00%). The qualified rate of preoperative preparation, on-time operation and antibiotic use was higher than that before implementation, and the difference was statistically significant. Among the 200 patients before the implementation, 5 patients developed incision infection, with an infection rate of 2.50%. After the implementation, no incision infection occurred, and the difference before and after the implementation was statistically significant (P < 0.05). After the implementation, the total score of competency assessment was (23.24±2.15) points, higher than that before the implementation (16.16±2.05) points, including team spirit, communication and coordination, activity confidence, etc., the score was higher after the implementation, the difference was statistically significant (P < 0.05).
Conclusion   The implementation of quality control circle management is conducive to improving the timely rate of antibiotic use before operation, and also has a positive effect on guaranteeing the rational application of antibiotics, which has a popularization value.