摘要
目的改进神经外科重症监护病房(NICU)患者预防医院感染管理的方法,从而降低患者住院期间医院感染,减少并发症发生,缩短住院时间,降低医疗费用。方法应用FOCUS-PDCA程序,分析NICU患者发生医院感染的各个环节,查找NICU患者发生医院感染的原因,组织全科人员培训医院感染的知识;改善重症监护病房环境,安装室内消毒设施,及时隔离MRSA感染患者;规范手卫生操作,加强手卫生依从性教育,规范抗菌药物合理使用及增加患者抵抗力等治疗,改进医疗、护理操作流程,强调预见性评估等。结果改进后NICU医院感染发生率从原来最高的27.3%下降至2.4%,平均感染率从16.66%降至6.7%,并维持稳定下降。结论应用FOCUS-PDCA程序进行持续质量改进能有效地培养临床护理人员系统地分析问题,培养评估性思维能力,同时护理中遵循持续质量改进原则,有利于护理质量的同质化有效管理。
OBJECTIVE To improve management of nosocomial infections in NICU so as to reduce the nosocomial infections and complications,shorten the hospital stay and the decrease the medical cost.METHODS All aspects of the hospital infections were analyzed by using FOCUS-PDCA procedures to find the causes of nosocomial infections,the training of the medical staff in the department was conducted;the ward environment was improved,the indoor disinfection facilities were installed,the patients with MRS infections were separated in a timely manner;the standard hand hygiene was taken into practices,the education of hand hygiene compliance was strengthened;the use of antibiotics was rationalized,the immunity of the patients was intensified,the treatment and nursing process was improved,the prospective evaluation was put on emphasis.RESULTS The incidence of nosocomial infections decreased from 27.3% to 2.4% after the improvement,the average infection rate deceasing from 16.66% to 6.7%,which maintained a stable decline.CONCLUSION The application of FOCUS-PDCA program for continuous quality improvement can effectively foster the systematic analysis of problems and the thinking ability;to conform to the principle of continuous quality improvement during the nursing is conducive to the effective management of the homogenization of the nursing quality.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2012年第11期2364-2365,共2页
Chinese Journal of Nosocomiology
