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根因分析法在手术部位感染危险因素分析中的应用 被引量:2

Application of Root Cause Analysis(RCA) in Risk Factors Analysis for Surgical Site Infections
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摘要 目的通过对手术患者手术部位感染的目标性监测,探讨手术部位感染(SSIs)的危险因素,从而为控制和降低手术部位感染提供科学依据。方法采用前瞻性监测和根因分析法对2012年1月至2013年6月手术患者的手术部位感染情况进行调查和分析。结果 18个月共监测手术患者1216例,发生手术部位感染15例,感染率为1.2%。将单因素分析有统计学差异的8个因素纳入Logistic回归分析模型,筛选出4个手术部位感染的危险因素。结论年龄、手术类型、基础疾病情况和0.5~2 h用药情况是手术部位感染的高危因素,应强化对手术部位感染高危因素的监测,及时采取相应的措施,从而降低感染的发生率。 Objective It provides scientific basis for controlling and reducing the surgical site infections by monitoring the target surveillance operation in surgical patients, exploring the surgical site infections(SSIs) risk factors. Methods A prospective study and root cause analysis were employed to investigate and analyze in the surgical site infection of the patients who were operated in the Second People's Hospital of Karamay during the period from January 2012 to June 2013. ResultsThere are 1216 surgical patients who were monitored in the 18 months. Among them, there were 15 cases of surgical site infections occurred. The rate of SSIs was 1.2%. Bring the 8 factors which have statistics differences by univariate analysis in the Logistic regression analysis model and select 4 risk factors of surgical site infection. Conclusion Age, type of surgery, underlying disease conditions and medications in 0.5~2 hours are high risk factors of surgical site infection. The measures of monitoring high risk factors of surgical site infections should be strengthened.Take appropriate measures promptly to reduce the incidence of infection.
出处 《中国医药指南》 2014年第25期23-24,共2页 Guide of China Medicine
关键词 手术部位感染 根源分析法 危险因素分析 Surgical site infections Root cause analysis Risk factors analysis
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