International Journal of Clinical Research

Objective To analyze the effect of applying the FOCUS-PDCA method to intervene in the rationality of antibiotic orders in the intravenous admixture service (IVAS) center of our hospital. Methods A retrospective evaluation was conducted on the antibiotic orders in the IVAS center of our hospital in 2023 (control group) and 2024 (observation group) using the FOCUS-PDCA method. Information on unreasonable orders in both groups was recorded, and the proportion of unreasonable orders was compared. Results In the control group, there were 197 cases involving 20 departments and 15 types of drugs, with 20 types of unreasonable orders, mainly including irrational drug combinations, incorrect order entry, and irrational administration routes. In the observation group, there were 236 cases involving 27 departments and 16 types of drugs, with a total of 12 types of unreasonable orders, mainly including irrational administration frequencies. The number of unreasonable orders in the observation group was lower than that in the control group (P < 0.05). Conclusion The FOCUS-PDCA method can improve the intervention effect on unreasonable antibiotic orders in the IVAS center and reduce the number of such orders.

Focus management cycle method; Intravenous antibiotics; Unreasonable medical orders