摘要
目的探讨应用PDCA法控制门诊医院感染的作用,以降低门诊医院感染的发生。方法自2014年1月起在门诊医院感染的管理中引入PDCA法(计划-实施-检查-处理),于PDCA法实施前及实施后分别抽取门诊863例患者及924例患者作为研究对象,比较PDCA法实施前后门诊医院感染管理各项监测指标合格率、消毒隔离与医疗废物管理得分以及发生医院感染率。结果 PDCA法实施后治疗室空气培养、物体表面细菌学监测、医务人员手卫生依从性及其医院感染知识理论考试合格率分别为98.08%、97.34%、92.16%、98.91%,均较实施前有明显上升(P<0.01);PDCA法实施后无菌操作、消毒灭菌、隔离防护、污物处理、医疗废物分类、医疗废物转运得分分别为(98.2±6.4)(99.1±7.2)(96.7±5.3)(93.6±6.6)(97.7±7.5)(98.5±6.8)分,均明显高于实施前(P<0.01);PDCA法实施后患者及家属医院感染发生率分别为6.93%、3.97%,较实施前均出现明显下降(P<0.01)。结论采用PDCA法管理后可有效控制门诊医院感染的危险因素,预防并减少门诊医院感染发生。
OBJECTIVE To discuss the role of PDCA method in the control of infections in the outpatient department,in order to reduce nosocomial infection rate.METHODS The PDCA method（plan-implementation-inspection- process）was introduced into the management of nosocomial infections in our hospital since Jan.2014.Totally 863 patients and 924 patients in the outpatient department of our hospital before and after the implementation were respectively selected as the study subjects.Qualified rates of each monitoring indicator of the infection management of the outpatient department,each dimension score of management of disinfection and isolation and medical waste management and incidence of hospital infections were compared before and after the implementation of the PDCA method.RESULTS The qualified rate of the room air culture,bacteriological monitoring of the object surface,hand hygiene compliance of medical staff,nosocomial infection knowledge of medical personnel was respectively 98.08%,97.34%,92.16%,and 98.91%,all significantly improved compared to before the implementation（P〈0.01）.After the implementation,scores for non-sterile operation,disinfection and sterilization,isolation and protection,waste treatment,medical wastes classification,medical waste transfer were respectively（98.2±6.4）points,（99.1±7.2）points,（96.7±5.3）points,（93.6±6.6）points,（97.7±7.5）points and（98.5±6.8）points,significantly higher than those before the implementation（P〈0.01）.The incidence of nosocomial infections in patients and their families was respectively 6.93% and 3.97%,significantly lower compared to before the implementation.CONCLUSION The risk factors of nosocomial infections can be effectively controlled by PDCA method which can be used to prevent and reduce the occurrence of nosocomial infections in the outpatient department,worthy of popularization and application.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2016年第5期1183-1185,共3页
Chinese Journal of Nosocomiology
基金
吉林省教育厅基金资助项目(20020075)
