2015郑燕产一科PDCA,抗生素,

,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: 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,2015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 text,Add your text,Add your text,Click to edit title style,“ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.”,兵器工业521医院,Click to edit title style,“ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.”,兵器工业521医院,Content 03,Content 02,Click to edit title style,Content 01,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,Description of the contents,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,Description of the contents Description of the contents,Description of the contents Description of the contents,兵器工业521医院,Click to edit title style,Title in here,Please write down of contents.,Text in here,Text in here,Text in here,Text in here,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,兵器工业521医院,Click to edit title style,Text in here,Text in here,Text in here,Text in here,Title in here,Description of the contents,Description of the contents,Description of the contents,Description of the contents,Description of the contents,Description of the contents,兵器工业521医院,Click to edit title style,Title in here,Description of the contents,Title in here,Text in here,Text in here,Text in here,Text in here,Text in here,Text in here,Description of the contents,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,兵器工业521医院,Click to edit title style,Text in here,Text in here,Text in here,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,兵器工业521医院,Description of the contents,Title in here,Title in here,Title in here,Title in here,Add Your Text,Add Your Text,Add Your Text,Add Your Text,Click to edit title style,兵器工业521医院,Click to edit title style,ThemeGallery is a Design Digital Content & Contents mall developedby Guild Design Inc.,Your text in here,Your text in here,Your text in here,Add your text in hereYour text in hereYour text in hereYour text in here,Add your text in hereYour text in hereYour text in hereYour text in here,Add your text in hereYour text in hereYour text in hereYour text in here,兵器工业521医院,Click to edit title style,Add your title in here,Add your title in here,Add your title in here,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,兵器工业521医院,Click to edit title style,Click to add Text,Click to add Text,Click to add Text,ContentsThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,兵器工业521医院,Click to edit title style,Text in here,Title in here,Text in here,Text in here,2006,2007,2008,Description of the contents Description of the contents,Description of the contents Description of the contents,Description of the contents Description of the contents,Description of the contents Description of the contents,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,兵器工业521医院,Describe a vision of company or strategic contents.,Describe a vision of company or strategic contents.,Describe a vision of company or strategic contents.,Describe a vision of company or strategic contents.,70%,50%,83%,90%,65%,75%,50%,65%,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,Click to edit title style,兵器工业521医院,Click to edit title style,Contents,Contents,Contents,Contents,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,Click to add Text Click to add Text Click to add Text Click to add Text,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,Click to add Text Click to add Text Click to add Text,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,兵器工业521医院,Description of the companys sub contents,Description of the companys sub contents,Description of the companys sub contents,ContentTitle,ContentTitle,Click to edit title style,兵器工业521医院,Click to edit title style,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,Title in here,2.Description of the companys sub contents,Describe a vision of company or strategic contents,1.Description of the companys sub contents,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,兵器工业521医院,Click to edit title style,Title in here,Title in here,Title in here,Title in here,Title in here,Description of the contents,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,兵器工业521医院,Click to edit title style,4. Description of the business,5. Description of the business,1. Description of the business,2. Description of the business,3. Description of the business,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,兵器工业521医院,Click to edit title style,Contents01,Contents02,Contents03,Contents04,Contents05,Contents06,0% 20% 40% 60% 80% 100%,18.5%,17.5%,8.7%,23.6%,63.6%,84.3%,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,兵器工业521医院,01 02 03 04 05 06 07 08,50%,70%,160%,230%,100%,150%,380%,300%,Text in here (unit: %),Year,Click to edit title style,Click to add TextClick to add TextClick to add Text,Click to add TextClick to add TextClick to add Text,Description of the contents,兵器工业521医院,Click to edit title style,Title in here,Title in here,$40,$100,$25,$10,$45,$55,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,Text