品管圈对神经外科医务人员手卫生执行情况的效果分析

Analysis of the Quality Control Circles Effect on Hand Hygiene Compliance for the Neurosurgery Medical Staff

目的:探讨品管圈对提高神经外科医务人员正确执行手卫生依从性的效果。方法:利用品管圈(QCC)工具,结合WHO提出手卫生的5个重要指征,品管圈成员对医务人员手卫生执行情况进行现场观察,对重点环节、手卫生5个时刻进行调查、数据汇总分析、原因分析,采取干预措施,提高手卫生的依从性和正确率。对干预前后效果进行对比。结果:干预后手卫生依从性显著提高,执行率提高了24.6%;正确率提高了21.6%。结论:品管圈活动提高了神经外科医务人员手卫生意识和依从性,降低了神经外科医院感染发生率,值得临床推广应用。

Objective：To study the quality control circles effect to improve the correct execution of hand hygiene compliance for the neurosurgery medical staff. Method：Using the quality control circle（QCC）tools,combined with the five important indications of hand hygiene put forward by WHO,quality control circles members were carrying out the medical personnel on-site hand hygiene observation. The implementation of the key link,the five times of the hand hygiene were investigated;data summary and the cause were analysized;the intervention measures were taken to im-prove the hand hygiene compliance and accuracy. The findings and measures were performed to compare of QCC activity before and after the intervention. Results：The hand hygiene compliance and accuracy after intervention conducted in-creased significantly,with enforced by 24. 6% ;increased accuracy by 21. 6% . Conclusion：The quality control circle activities have not only improved hand hygiene awareness,but reduce the surgical hospital infection incidence among the surgical medical staff,which is worthy of clinical popularization and application.