摘要
目的探讨持续质量改进对血液透析室感染控制的影响,降低医院感染,提高血透室感控管理质量。方法2012年1月—2013年12月将持续质量改进应用于本院血透室的感控管理,对以往血透室的各项感控指标、发生感染的相关因素进行评估分析,制定改进措施,进行效果评价,将存在的问题作为下一步持续改进的重点,比较2011年科室的各项感控指标及与感染相关护理不良事件的发生率。结果实施后科室的手卫生、护理操作、物表、感控知识的合格率分别为98.3%(59/60)、98.2%(214/218)、97.4%(76/78)、98%(49/50),显著高于管理前的66.7%(16/24)、89.4%(93/104)、83.3%(30/36)、87.5%(20/24);血透室2011年、2012年、2013年与感染相关的护理不良事件发生率分别为3.07%、0.64%、0.33%,呈逐年下降趋势,线性趋势检验结果显示P<0.0001。结论持续质量改进是预防和控制血液透析室医院感染的有效管理方法。
Objective The aim of the study was to analyze the effects of continuous quality improvement for hospital infection control in hemodialysis room. Methods We evaluated the previous infection control indicators and influence factors,then continuous quality improvement was applied to improve the quality of hospital infection control in hemodialysis room from January 2012 to December 2013. The indicators of infection control and the rate of nursing adverse events associated with hospital infection were compared in 2011,2012 and 2013. Results After the implementation of continuous quality improvement,the passing rate of hand hygiene,nursing operations,physical form,infection control knowledge were 98. 3%（ 59 /60）,98. 2%（ 214 /218）,97. 4%（ 76 /78）,98%（ 49 /50）,which were significantly higher than the passing rate before management,which were 89. 4%（ 93 /104）,83. 3%（ 30 /36）,87. 5%（ 20 /24）. The rate of infection- related nursing adverse event of hemodialysis room in2011,2012 and 2013 were 3. 07%,0. 64% and 0. 33% respectively,which showed a declining trend. Linear trend test showed that P〈 0. 0001. Conclusion Continuous quality improvement is an effective way to prevent and control hospital infection in hemodialysis room.
出处
《解放军医院管理杂志》
2015年第1期37-39,共3页
Hospital Administration Journal of Chinese People's Liberation Army
关键词
持续质量改进
血液透析室
医院感染
管理
continuous quality improvement
hemodialysis room
hospital infection
management
