摘要
目的运用持续质量改进的管理工作方法,探讨手术部位感染控制措施及管理效果。方法根据前期监测结果,筛选出手术部位感染率较高的Ⅲ类切口与普外科为重点监控对象,以质量管理小组方式,按计划、实施、检查与处理循环的方法开展工作。结果找出感染关键因素并采取干预措施,提高接触伤口时的手卫生依从性,纠正感染率高的医师手术技术缺陷,查房换药前避免晨间护理,术中彻底清除异物和失活组织,严格掌握抗菌药物使用指征;干预后Ⅲ类切口与普外科感染率分别由18.37%、6.83%下降为5.56%与3.14%。结论控制手术部位感染的有效方法是强化手卫生管理、重点关注感染率高的医师、伤口暴露时保持空气洁净、规范手术操作程序、合理使用抗菌药物;持续质量改进方法运用,使管理工作重点突出,成效显著。
OBJECTIVE To investigate the effectiveness of infection control on surgmal rotes uncler conunuous quality improvement management approaches. METHODS Based on the results of preliminary monitoring, the ＂III incision＂ and ＂general surgery department＂ were screened out and set as the key monitoring objects, by means of quality management team, the work was developed in accordance with the program, inspection and the cycle disposal. RESULTS The key factors were found out by enhancing the hand hygiene compliance while contacting the incision, avoiding the technical flaw during the surgery, changing bedding after rounds of wards, eradicating the foreign obiects and inactivated tissue on the surgical sites, and strictly grasping the indications of antibiotic application; the infection rates of the ＂III incision＂ and ＂general surgery department＂ dropped respectively from 18.37% and 6.83%to 5. 56% and 3. 14%. CONCLUSION The effective methods of controlling surgical site infections are as follows：strengthening management of hand hygiene, paying special attention to the surgeons with high infection rates, keeping the air clean as the wound exposed, standardizing the surgical operation procedures, and reasonably using antibiotics; the application of continuous quality improvement has highlighted the management and achieved significant effectiveness.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2012年第16期3602-3603,共2页
Chinese Journal of Nosocomiology
关键词
持续质量改进
手术部位
感染
控制
Continuous quality improvement
Surgical site
Infection
Control
