医院感染目标性监测在脑外科的应用

Application of targeted surveillance of hospital infection in the Department of Neurosurgery

目的 探讨目标性监测在脑外科的应用效果。方法 专人采用前瞻性调查方法 ,制定结果目标、进程目标 ,划分临床小组 ,定期信息反馈、效果评价、纠正偏差。结果 完成进程目标 :1996年 7月～ 1997年 6月脑外科医院感染率由 2 6 0 7%下降到 2 1 32 % (χ2 =4 34 6 5 ,P<0 0 5 ) ;完成结果目标 :1997年 7月～ 1998年 6月感染率由 2 1 32 %下降到 13 40 % (χ2 =16 1193,P <0 0 1)。结论 目标性监测是确见成效的监测 ,信息反馈、效果评价必不可少 。

Objective To explore the effects of the application of targeted surveillance in the Deparment of Neurosurgery. Methods Someone was specially assigned to work out both process and outcome goals by means of perspective investigation, clinical groups were formed and information feedback, evaluation of effects and correction of deviation were regularly conducted. Results The process goals were obtained: from July 1996 to June 1997, the rate of hospital infection in the Department of Neurosurgery dropped from 26.07% to 21.32%(χ 2=4 3465,P<0 05). The outcome goals were also obtained: from July 1997 to June 1998, the rate of infection dropped from 21.32% to 13.40%(χ 2=16 1193,P<0 01). Conclusion Targeted surveillance is a really effective form of surveillance and information feedback and evaluation of effects are indispensable. Application of targeted surveillance in the Department of Neurosurgery has won initial success.