建立医院感染防控工作考核指标体系的探索

Explorations for the evaluation index system of prevention and control of hospital associated infection

参考《三级综合医院评审标准》（2011年版）及其他医院感染相关标准或指南的要求,建立三级综合医院医院感染防控工作量化考核指标体系,定期对医院各科室的医院感染防控工作进行系统梳理,并将评估结果纳入到医院的绩效考核体系之中.由此,我院近两年无医院感染暴发事件发生,全院的医院感染发病率从2012年的1.25％下降到了2013年的1.05％;手卫生正确率、依从率分别从2012年的45.3％和26.9％提高到了2013年的92.4％和65.5％,医院感染防控工作量化考核指标体系构建取得初步成效.

In accordance with the ＂General Hospital Accreditation Standards Ⅲ＂ （2011） and other HAI-related hospital guidelines,a quantitative assessment index system for infection control of general hospitals has been established.Based on these,departmental performance of the hospital has been regularly checked in their infection control,and the outcomes of assessment included into the performance appraisal system of the hospital.Thanks to this practice,there have been no outbreaks of hospital associated infections in the hospital in recent two years,the incidence of hospital associated infection decreased from 1.25％ in 2012 to 1.05％ in 2013.Proper hand hygiene rates,compliance rates increased from 45.3％ and 26.9 ％ in 2012 to 92.4 ％and 65.5 ％ in 2013.The index system for evaluating prevention and control of hospital associated infection is scientific and effective.