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PDCA循环结合危险因素管理在提高儿科院内感染控制质量中的应用效果

The PDCA Cycle Management Combined with Risk Factor Management in Nosocomial Infection Control in Department of Pediatrics
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摘要 目的探讨PDCA循环结合危险因素管理在儿科院内感染控制中的应用效果。方法选取萍乡市人民医院儿科2020年7月至2020年12月住院患儿共851例为对照组,2021年1月至2021年6月的住院患儿共916例为PDCA组。对照组实施常规感染管理,PDCA组实施PDCA循环结合危险因素管理。观察2组患儿院内感染发生率、消毒合格率、医护人员不合规事件发生率。结果PDCA组患儿的院内感染发生率、医护人员不合规事件总发生率均显著低于对照组(P<0.05)。PDCA组物体表面、医护人员手和空气消毒合格率均显著高于对照组(P<0.05或P<0.001)。结论PDCA循环管理结合危险因素管理可有效提高儿科消毒合格率,降低医护人员的不合规事件发生率和住院患儿院内感染发生率。 Objective To investigate the effect of plan-do-check-action(PDCA)cycle management combined with risk factor management in reducing nosocomial infection in Department of Pediatrics.Methods 851 children hospitalized in Department of Pediatrics from July 2020 to December 2020 were established as the control group,and 916 hospitalized children from January 2021 to June 2021 were categorized as the PDCA group.The control group was managed with routine health care,and the study group was treated with PDCA cycle management combined with risk factor management.The incidence of nosocomial infection,the rate of sterilization compliance,and the incidence of non-compliance events of medical staff were observed in the two groups.Results The incidence of nosocomial infection and the total incidence of non-compliance events of medical staff in the PDCA group were significantly lower than those in the control group(P<0.05).The pass rates of disinfection of object surfaces,healthcare workers’hands and air in the PDCA group were significantly higher than those in the control group(P<0.05 or P<0.001).Conclusion PDCA cycle management combined with risk factor management can effectively improve the pediatric sterilization compliance rate and reduce the incidence of non-compliance events of medical staff and the incidence of nosocomial infection in hospitalized children.
作者 刘明 张小霞 李慧鹏 LIU Ming;ZHANG Xiao-xia;LI Hui-peng(Department of Pediatrics,Pingxiang City People’s Hospital,Pingxiang 337000,China)
出处 《实用临床医学(江西)》 CAS 2024年第1期55-60,共6页 Practical Clinical Medicine
基金 江西省卫健委科技计划项目(202140502)。
关键词 PDCA循环模式 危险因素 儿科 医院感染 PDCA cycle management risk factor management pediatrics nosocomial infection
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