摘要
目的:探讨基于循证医学的PDCA管理模式对医院感染率的控制效果。方法:回顾性分析2020年1月1日-2021年12月31日山东省青州荣军医院的医院感染控制管理工作,本院自2021年1月1日起实施基于循证医学的PDCA管理模式。对比实施前后医院感染发生率、检查指标合格情况、抗菌药物使用情况、多重耐药菌检出率及多重耐药菌患者感染控制措施落实情况。结果:实施后,医院感染的发生率为3.06%,低于实施前的6.28%,差异有统计学意义(P<0.05)。实施后,医护人员的手卫生、空气培养、医疗仪器杀菌及感染相关知识考核的合格率均高于实施前,差异均有统计学意义(P<0.05)。实施后,单一抗菌药物用药率高于实施前,三种及以上抗菌药物用药率低于实施前,差异均有统计学意义(P<0.05)。实施后,多重耐药菌检出率为0.84%,低于实施前的2.76%,差异有统计学意义(P<0.05)。实施后,多重耐药菌患者各项感染控制措施的执行率均高于实施前,差异均有统计学意义(P<0.05)。结论:基于循证医学的PDCA管理模式用于医院感染控制,可显著降低医院感染发生率和多重耐药菌的检出率,优化抗菌药物的使用,促进多重耐药菌患者感染控制措施良好落实,效果显著。
Objective:To investigate the effect of the PDCA management model based on evidence-based medicine on the control of hospital infection rate.Method:A retrospective analysis was conducted on the hospital infection control management of Shandong Qingzhou Rongjun Hospital from January 1st,2020 to December 31st,2021.The hospital has implemented the PDCA management model based on evidence-based medicine since January 1st,2021.The incidence of hospital infection,the qualification of examination indexes,the use of antibacterial drugs,the detection rate of multi-drug resistant bacteria and the implementation of infection control measures in patients with multi-drug resistant bacteria were compared before and after implementation.Result:After the implementation,the hospital infection rate was 3.06%,which was lower than 6.28%before the implementation,the difference was statistically significant(P<0.05).After the implementation,the passing rates of hand hygiene,air culture,sterilization of medical instruments and infection-related knowledge assessment of medical and nursing staff were higher than those before the implementation,the differences were statistically significant(P<0.05).After the implementation,the rate of single antibacterial drugs use was higher than that before the implementation,and the rate of three or more antibacterial drugs was lower than that before the implementation,the differences were statistically significant(P<0.05).After implementation,the detection rate of multi-drug resistant bacteria was 0.84%,which was lower than 2.76%before the implementation,the difference was statistically significant(P<0.05).After the implementation,the implementation rates of various infection control measures for patients with multi-drug-resistant bacteria were higher than those before the implementation,the differences were statistically significant(P<0.05).Conclusion:The PDCA management model based on evidence-based medicine used for hospital infection control can significantly reduce the incidence of hospital infectio
作者
李晓静
LI Xiaojing(Shandong Qingzhou Rongjun Hospital,Qingzhou 262500,China)
出处
《中国医学创新》
CAS
2023年第15期162-166,共5页
Medical Innovation of China
关键词
循证医学
医院感染
多重耐药菌
抗菌药物
Evidence-based medicine
Hospital infection
Multi-drug resistant bacteria
Antibacterial drugs
