摘要
目的:评价PDCA循环管理工具在防控中心血管导管相关血流感染中的应用效果。方法:结合本省、所在地区同级别医疗机构上一年及本机构近三年中心血管导管相关血流感染率,设定本医疗机构2022年度中心血管导管相关血流感染千日感染率目标值≤0.24‰。依据国家卫生健康委《2021版血管导管相关感染预防与控制指南》要求,通过现状分析找出本医疗机构中心血管导管相关血流感染控制措施执行不到位的项目为置管时未认真执行手卫生、置管时未执行最大无菌铺单及未每日评估是否保留导管,针对三个项目提出干预控制措施,并监督及评价执行情况。结果:2022年中心血管导管相关血流感染千日感染率为0.14‰,达到预期设定目标;置管科室非手触式手消毒设施配备率由0%上升到100%;最大无菌铺单使用率由20.76%上升到88.14%;拔管评估率由项目开展前0%上升到63.45%。结论:通过PDCA循环管理工具开展中心血管导管相关血流感染防控工作,完成感染率目标值,医疗机构针对性提高了防控措施执行率,保障患者安全,可以推广。
Objective:To evaluate the application effect of PDCA management tool in the prevention and control of central vascular catheter-related bloodstream infections.Methods:Based on the central vascular catheter-related bloodstream infection rates of medical institutions at the same level in this province and region in the previous year and in the past three years,the target value of the thousand day central vascular catheter-related bloodstream infection rate for this medical institution in 2022 is set to be≤0.24‰.According to the"2021 Guidelines for the Prevention and Control of Vascular Catheter Related Infections"issued by the National Health Commission,through current situation analysis,it was found that the inadequate implementation of blood flow infection control measures related to central vascular catheters in this medical institution is due to the lack of careful hand hygiene during catheterization,failure to implement maximum sterile laying during catheterization,and failure to evaluate whether catheters are retained on a daily basis.Intervention and control measures are proposed for these three items,and the implementation status is monitored and evaluated.Results:The thousand day infection rate of central vascular catheter-related bloodstream infections in 2022 was 0.14‰,meeting the expected target;The provision rate of non hand touch hand disinfection facilities in the department of placement management has increased from 0%to 100%;The maximum sterile laying utilization rate has increased from 20.76%to 88.14%;The evaluation rate of extubation has increased from 0%before the project was launched to 63.45%.Conclusion:By using the PDCA management tool for blood flow infection prevention and control,the target infection rate can be achieved,the implementation rate of prevention and control measures in medical institutions can be improved,and the safety of patients can be ensured,which is worthy of clinical promotion.
作者
吴增华
胡倩倩
李庆德
WU Zeng-hua;HU Qian-qian;LI Qing-de(Xingyi People's Hospital,Xingyi,562400,Guizhou)
出处
《黔南民族医专学报》
2024年第1期69-72,共4页
Journal of Qiannan Medical College for Nationalities
关键词
PDCA
中心血管导管
血流感染
PDCA
Central vascular catheter
Blood flow infection
