Practice of Standardizing Rational Use of Proton Pump Inhibitors in Neurosurgery Department of Our Hospital by PDCA Cycle Management
- VernacularTitle:采用PDCA循环管理方法规范我院神经外科质子泵抑制剂合理用药的实践
- Author:
Jianjie CHU
1
;
Jialin DUAN
1
;
Fang DOU
1
;
Yuanyuan LI
2
;
Weiwei LI
1
;
Tingting FAN
1
;
Xian ZHAO
1
;
Jingwen WANG
1
;
Aidong WEN
1
Author Information
1. Dept. of Pharmacy，Xijing Hospital，Air Force Military Medical University，Xi’an 710032，China
2. School of Basic Medicine and Clinical Pharmacy，China Pharmaceutical University，Nanjing 210009，China
- Publication Type:Journal Article
- Keywords:
PDCA cycle management;
Proton pump inhibitors;
Stress ulcer;
Rational drug use
- From:
China Pharmacy
2019;30(1):10-14
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE： To promote rational use of proton pump inhibitors （PPIs） during perioperative period. METHODS： PDCA （Plan， Do， Check， Action） cycle management was used， the irrational use of PPIs of 300 medical records in neurosurgery department of our hospital were collected. The reasons were analyzed， management target was formulated and measures were implemented. The effects of management were evaluated through comparing the rate of irrational drug use and ratio of irrational type of PPIs in 300 medical records of neurosurgery department during perioperative period after management. RESULTS： Through collecting related data to confirm risk factors of stress ulcer， establishing rationality evaluation criteria for perioperative prophylactic use of PPIs， conducting rational drug use training among medical staff， drawing up various management systems and strengthening supervision and management， the rate of irrational use of PPIs was decreased significantly in our hospital； the number of irrational drug use cases decreased from 240 before management to 156 after management， among which the rate of prophylactic drug use without indication decreased from 37.33％ to 29.00％ （P＜0.05）； the irrational dosage rate decreased from 11.33％ to 6.33％ （P＜0.05）； the rate of irrational dosing frequency dropped from 12.67％ to 5.00％ （P＜0.01）. CONCLUSIONS： PDCA cycle management of our hospital can standardize the prophylactic use of PPIs in neurosurgery department during perioperative period and promote rational use of PPIs.
