Evalution of Effectiveness of PDCA Cycle on the Clinical Application Management of Human Albumin

Basang Lamu; Ciren Deji; Liu Li; Zebi

doi:10.3969/j.issn.1004-3403.2025.02.009

Abstract：Objective To explore the effectiveness of the Plan-Do-Check-Act(PDCA)cycle management method in promoting rational clinical use of human albumin.Methods The PDCA cycle management method was used to establish the human albumin management objectives in hospitals,and targeted rectification measures were formulat-ed.Clinical use and rationality of medical orders for human albumin were compared before intervention(January-De-cember,2019)and after intervention(January-December,2020 in the first stage,January-December,2021 in the sec-ond stage,January-December,2022 in the third stage and January-December,2023 in the fourth stage).Results The utilization rate of human albumin decreased from 13.8％before intervention to 11.5％after intervention(P＜0.05),and the average use of human albumin decreased from 121.49g to 118.42g(a drop of 2.53％).The rationality rate of inpatient medical orders for human albumin increased from 76.39％before intervention to 99.44％after continuous improvement(P＜0.05),and the average treatment course ofhuman albumin use decreased from 9.82 days to 6.40 days(a drop of 34.83％).Conclusion Through the multidisciplinary cooperation combined with PDCA cycle manage-ment method,the utilization rate,average use and treatment course of human albumin use can be effectively reduced,and the rationality rate of medical orders can be continuously improved,generally reaching the intended targets(im-prove the rational clinical application of human albumin and save medical resources).