流程管理预防经外周静脉置入中心静脉导管相关性血流感染的效果

Preventing peripheral central venous catheter-related bloodstream infections through process management

目的评估制订标准流程管理对预防经外周静脉置人中心静脉导管（PICC）相关性血流感染的效果。方法制订预防PICC导管相关性血流感染（CRBSI）的标准管理流程，对全院PICC置管实行统一管理，比较流程管理前后CRBSI的发生情况。结果流程管理前每1000个导管留置日的CRBSI发生率为6．0‰（48／79783），明显高于流程管理后的2．9‰（29／99643）（P=0．000）。结论遵照标准程序统一管理，早期护理干预能够有效预防和控制PICC相关性感染。

Objective To explore the role of process management in preventing peripheral central venous catheter （HCC）-related bloodstream infections （CRBSI）. Methods A standard process management policy was established for the uniform management of PICC in oar hospital. The incidences of CRBSI before and after the implementation of this policy were compared. Results The incidences of CRBSI was 6.0‰ （ 48/79 793 ） every 1000 catheter-days before process management and 2.9‰ （ 29/99 643 ） after process management （ P = 0. 000）. Conclusion Standard process management can effectively prevent and control CRBSI caused by PICC.