应用品管圈活动提高ICU医务人员洗手正确率

An experience of increasing accuracy of hand washing in health care workers through quality control activities

目的探讨品管圈活动提高ICU医务人员洗手正确率的应用效果,达到降低医院感染的目的。方法品管圈小组成员现场观察ICU医务人员手卫生执行现状,对错误的洗手方法通过脑力激荡及柏拉图等品管工具分析存在的问题,采用相应的方式进行干预,对干预前后结果进行比较。结果开展品管圈活动后,ICU医务人员手卫生正确率由开展品管圈活动前的62.4%上升至93.3%,戴手套后洗手正确率由25.1%提高至80.7%,两组差异有统计学意义(P<0.01)。结论品管圈活动能有效帮助医护人员建立洗手习惯的"知-信-行"链条,提高洗手正确率。

OBJECTIVE To observe the effectiveness of increasing accuracy of hand washing in health care workers through quality control activities so as to decrease the nosocomial infections. METHODS Members of the quality control circle observed how health care workers practiced hand washing in the work places. The related methods were applied as the interventions of identified mistakes in hand washing habit of the study samples. The existed problems were analyzed through quality control tools such as brain storming and Plato, then the corresponding interventions were taken, and the effects were compared before and after the interventions. RESULTS The accuracy of hand washing in health care workers in ICU increased from 62.4 % to 93.3 % after practicing the quality control activities. The accuracy of hand washing increased from 25.1% to 80.7% in the same study cohort after wearing gloves, the difference between the two groups was statistically significant （P〈0. 001）. CONCLUSION The quality control activities can effectively assist in establishing Knowledge Attitude Behavior chain and can increase the accuracy of hand washing in the health care workers.