JCI标准下医院保洁管理模式改进及效果评价

The Effect Evaluation on the Improvement of Hospital Cleaning Management Mode Under JCI Standard

目的探讨JCI标准下改进医院环境清洁管理模式及取得的效果。方法借助JCI评审的契机及相关的评审标准要求,在医院环境清洁管理方面实施一系列改进措施,包括强化保洁人员培训、保洁流程的改进、保洁用具的统一清洗消毒、保洁质量的三级督导评价、由单个部门的独立考核改进为多部门联合检查考核等环节,比较干预前后环境物体表面的清洁质量及生物监测合格率、保洁人员的手卫生依从性及医院感染率的发生情况。结果干预改进后医院室内环境清洁质量考核分、物体表面卫生学监测合格率、保洁员手卫生依从性均高于干预前,差异有统计学意义(P<0.05);医院感染率低于干预前,差异有统计学意义(P<0.05)。结论对医院环境清洁实施标准化管理能有效提高医院后勤保洁工作质量,降低医院感染风险,减少医院感染,保障医疗安全,可运用于医院后勤保洁管理工作中。

Objective To discuss the effect of the improvement of hospital environmental cleaning management mode under JCI standard. Methods With the opportunity of JCI review and the relevant evaluation standards, a series of improvement measures in hospital environmental cleaning management were implemented, including strengthing the training of cleaning staff, improving the cleaning process, taking the concentrated disinfectant of cleaning tools, using the three level of cleaning quality＇s supervision and evaluation, changing the individual departments for independent assessment to multi sectoral joint inspection assessment. Then to compared the quality of surface clean, qualified rate of biological monitoring, hand hygiene compliance of cleaning staff and the rate of hospital infection before and after intervention. Results The quality assessment of hospital indoor environment, qualified rate of surface cleaning and hand hygiene compliance of cleaning staff were higher than those before intervention. The difference was statistically significant （P 〈 0.05）. The rate of hospital infection was lower than this before the intervention. The difference was statistically significant （P 〈 0.05）. Conclusion It is more effective to improve the quality of the hospital environmental cleaning after the implementation of standardized management. It can reduce the risk of nosocomial infection and hospital infection. It also can ensure medical safety. So it can be used in hospital environmental clean management.