PDCA循环管理在精神科男封闭病房医院感染控制中的应用

Effect of PDCA Cycle on Infection Control in Male Psychiatric Closed Wards

目的应用PDCA循环管理,降低医院精神科男封闭病房医院感染发病率。方法将精神科男封闭病房2005年住院患者设为对照组,2006年住院患者设为实验组,对实验组应用PDCA循环管理模式管理。结果医院感染率由2005年的9.94%降低为2006年的5.57%,差异有统计学意义(P<0.05);上呼吸道、胃肠道、下呼吸道、泌尿系统、皮肤等部位的感染率2006年比2005年分别下降了2.65%、1.04%、0.34%、0.20%、0.13%,差异有统计学意义(P<0.05)。结论通过应用PDCA循环管理,医院精神科男封闭病房医院感染发病率明显降低。

OBJECTIVE To investigate whether PDCA （plan-Do-check-action） cycle could lower the incidence of the nosocomial infection in the male psychiatric closed wards. METHODS Data were collected both prospectively and retrospectively. PDCA cycle was used to manage infection control in the male psychiatric closed wards in 2006; whereas the usual method used in the infection control in 2005 was treated as a control group. RESULTS The incidence of the nosocomial infection lowered from 9.94% in 2005 to 5.57% in 2006 （P〈0.05）. As compared with control group, the incidence of infection of upper respiratory tract, the gastrointestinal tract, the lower respiratory tract, the urinary system and skin in PDCA group in 2006 also significantly lowered for 2.15%, 1.04%, 0.34%, 0.20% and 0.13 % （P〈0.05）, respectively. CONCLUSIONS PDCA cycle could significantly lower the incidence of the nosocomial infection in the male psychiatric closed wards.