PDCA循环运用于二级医院手术室感染与控制

Application of PDCA cycle to the infection and control of the operation rooms in second-class hospitals

目的 探讨PDCA循环在提高二级医院手术室感染管理质量的应用效果.方法 运用PDCA循环管理的4个阶段,提高手术室人员的手卫生依从率、强化手术室器械的管理及手术室器械清洗质量等,从而降低手术切口感染率,并提出整改措施,计划实施,最后进行阶段性评价、总结.结果 在实施本方法前后手术器械清洗合格率分别为92%、98%;手术切口感染率分别为7.42%、3.46%;手卫生依从率方面也有明显改善,在实施本方法前后差异均具有统计学意义（P＜0.05）.结论 在二级医院手术室采用PDCA循环管理法运用于医院感染与控制可以明显降低手术切口感染率,控制医院感染有明显的效果,值得推广.

Objective To explore the application of PDCA cycle to the infection and control of the operation rooms in second-class hospitals. Methods The four stages of PDCA circulation management was applied to improve the compliance rate of hand hygiene of personnel in operation room, to strengthen the management of the equipments in op-erating room and the equipment cleaning quality in the operation room, etc. Thus the incision infection rate was re-duced, and the measures for improvement and plan for implementation were put forward, and finally the phased evalua-tion and summarized was conducted. Results The pass rate of the surgical instruments cleaning was 92% and 98% re-spectively before and after the implementation of this method. The surgical incision infection rate was 7. 42% and 3. 46% respectively. Hand hygiene compliance rate was also improved significantly, and the differences were statisti-cally significant before and after the implementation of this method （ P＜0. 05 ） . Conclusion The application of PDCA circulation management to the management and control of the hospitals in the secondary hospitals can significantly reduce the surgical incision infection rate. It has obvious effect in controlling the hospital infection, which is worth promoting.