摘要
目的探讨品管圈(Quality control circle,QCC)活动在降低重症监护室(ICU)患者呼吸机相关性肺炎(Ventilator associated pneumonia,VAP)中的作用。方法选取青岛市胶州中心医院重症监护室住院患者为研究对象,2017年7-9月的住院患者102例为对照组,2017年10月开始实施QCC活动,2017年10月-2018年3月的住院患者156例为研究组,比较两组患者VAP的发生率。结果开展品管圈活动后,各项感染防控措施落实率由活动前的62.41%(953/1 527)提高至96.21%(1 498/1 557),VAP发生率由活动前的49.66‰(22/443)下降至活动后的13.06‰(9/689),差异有统计学意义(P<0.001),目标达成率126.78%,改善率73.70%;圈员对管理工具的应用、解决问题能力、科研能力、团队精神等均得到不同程度地提高。结论通过QCC活动有效降低了重症监护室患者VAP的发生率,增强了医护人员对预防VAP的意识,达到了持续质量改进的目的,具有良好的提高医疗质量效果。
OBJECTIVE To investigate the role of quality control circle(QCC) activities in reducing ventilator-associated pneumonia(VAP) in intensive care unit(ICU) patients. METHODS Inpatients in ICU of Jiaozhou Central Hospital in Qingdao were selected as the research subjects. Totally 102 inpatients from July to September 2017 were selected as the control group. QCC activities were implemented in October 2017. 156 hospitalized patients from October 2017 to March 2018 were included in the study group. The incidence of VAP was compared between the two groups. RESULTS After the implementation of the quality control circle activities, the implementation rate of various infection prevention and control measures increased from 62.41%(953/1 527) before the event to 96.21%(1 498/1 557), and the incidence of VAP decreased from 49.66 ‰(22/443)before the event to 13.06 ‰(9/689)after the event, and the difference was significant(P<0.001). The target achievement rate was 126.78%, and the improvement rate was 73.70%. The quality control circle had improved the application of management tools, problem-solving ability, scientific research ability and team spirit et al. to varying degrees. CONCLUSION The QCC activity effectively reduced the incidence of VAP in patients in the intensive care unit(ICU), enhanced the awareness of medical staff to prevent VAP, which achieved the goal of continuous quality improvement and had a good effect on improving medical quality.
作者
王清妍
匡荣岩
WANG Qing-yan;KUANG Rong-yan(Qingdao Jiaozhou Central Hospital,Jiaozhou,Sangclong 266300,Chirm)
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2020年第19期3036-3040,共5页
Chinese Journal of Nosocomiology
基金
中华医院感染控制研究基金资助项目(ZHYY2015-0029)。
关键词
重症监护室
呼吸机相关性肺炎
预防措施
品管圈
Intensive care unit
Ventilator associated pneumonia
Peventive measures
Quality control circle
