摘要
目的对某三级甲等精神专科医院的医院感染风险事件进行评估,明确需要优先干预的感染风险事件和关键点,为精准防控并降低感染风险提供依据。方法采用灾害脆弱性分析方法,通过头脑风暴和查阅文献,初步筛选出精神专科医院的医院感染风险评估指标23个,对51名院感专/兼职医生、护士进行问卷调查,并基于Kaiser模型计算风险值,采用矩阵分析法划定风险带。结果风险值前5位的是手卫生依从性差、感染控制建筑布局不达标、感染控制知识不知晓、工作人员职业防护不到位、清洁消毒不合格;矩阵分析结果显示,处于高风险带的指标有6项,中风险9项,低风险8项。结论精神专科医院的医院感染风险总体不高,基于灾害脆弱性分析明确风险事件,有利于管理者有针对性地采取高风险事件干预策略,以降低医院感染发生率。
Objective To evaluate the infection risk events in a tertiary psychiatric hospital and determine the key points of priority intervention,and provide evidence in precise infection prevention and control.Methods The hazard vulnerability analysis(HVA)was used.Through brainstorming and literature review,we screened 23 indicators for assessing hospital infection risks in the psychiatric hospital,for which a questionnaire-based survey was conducted among 51 full-time/part-time doctors and nurses.The relative risk values were calculated based on the Kaiser model,and the risk zone was delineated by matrix analysis.Results The top five risks were poor hand hygiene compliance,substandard layout of infection control buildings,poor awareness of infection,insufficient occupational protection,and unqualified cleaning and disinfection.The matrix analysis revealed that 6 indicators were in the high-risk zone,9 in the medium-risk zone,and 8 in the low-risk zone.Conclusion The overall risk of nosocomial infection in the psychiatric hospital is not high.Identifying risk events via HVA helps hospital managers to take targeted interventions for high-risk events,thus reducing the incidence of nosocomial infection.
作者
周海英
康佩佩
卢庆华
Zhou Haiying;Kang Peipei;Lu Qinghua(Shandong Mental Health Center,Jinan 250014,Shandong Province,China)
出处
《中国医疗管理科学》
2024年第2期63-68,共6页
Chinese Journal Of Medical Management Sciences
基金
山东省医药卫生科技发展计划基金资助项目(202112070860)。
