量化质控对医院感染管理的预警与调控作用

Hospital Infection Management:Quality Control and Its Forewarning and Regulatory Roles

目的对医院各科室的医院感染质量实施量化质控,以达到对医院感染管理的预警与调控的目的。方法通过2005-2007年医院感染质控评估资料,计算各科室月均医院感染质控分x-,用统计学方法,计算月均质控分的标准差s和总体均值的95%可信区间(x-±1.96s)与总体均值的99%可信区间(x-±2.58s),依此确定医院感染质控警戒值和阈值。结果发现烧伤科2月份质控分(85.95)处于阈值下,呼吸科3月份质控分(87.85)和神经外科4月份质控分(86.90)处于阈值上和预警值下,经及时调控,加强管理后很快回升至警戒值上。结论借助量化质控工具实施质量管理,对医院感染质量及时预警和调控,实施科学有效的医院感染监管,不但可以及时发现科室在质量控制上所存在的缺陷和问题,而且在及时发现医院感染率的异常升高及防止医院感染暴发流行危险等方面很有实用价值。

OBJECTIVE To evaluate the role of qulity control in hospital infection management. METHODS The data were collected in 2005-2007. The mean x^-, standard deviation s, 95% confidence interval （x^-± 1.96 s） and 99% confidence intervals （x^-± 2.58 s） were calculated to determine the forewarning threshold value. RESULTS The burn department was under the threshold value （85.95） lower than the respiratory department （87.85） and neurosurgery department （86.90）. After intervention, the management improved. CONCLUSIONS With the help of quality control to forewarning and regulation of hospital infection management the problems can be found out in time. It is valuable for preventing hospital infection outbreac.