医药护品管圈活动降低产褥期感染率的效果评价

Effect of the Medical Care Quality Control Circle on Reducing the Rate of Puerperal Infection

目的探讨医师、药师及护士(简称医药护)品管圈对降低产褥期感染率的影响,减少产褥期产妇感染的发生。方法选择2017年3月1日至5月31日(活动前)收治的产妇1 641例和2017年10月1日至12月21日(活动后)收治的产妇1 667例,统计其产褥期感染率,并运用质量管理工具分析其感染的原因,找到产褥期感染率高的真因,根据真因制订可行的活动对策。结果活动后,产褥期感染率由活动前的3.17%(52/1 641)降至0.90%(15/1 667,P<0.05),其中会阴切口感染率由2.07%(34/1 641)降至0.54%(9/1 667,P<0.05),上呼吸道感染率由1.10%(18/1 641)降至0.36%(6/1 667,P<0.05)。结论开展医药护品管圈活动不仅可明显降低产褥期感染率,提高医疗质量与安全,提升患者满意度,还可加深医药护的相互了解,提高其团结协作及发现问题和解决问题的能力。

Objective To investigate the effect of quality control circle（QCC） established by doctors, pharmacists and nurses on reducing the rate of puerperal infection, and then reduce the occurrence of puerperal infection. Methods Totally 1 641 parturient women fi＇om March 1st to May 31st, 2017（before the QCC activities） and 1 667 parturient women fi＇om October 1st to December 21st, 2017（after the QCC activities） were selected, the rate of puerperal infection was calculated, and the causes of infection was analyzed by using quality management tools, the real cause of high rate of puerperal infection was found, and then the feasible countermeasures were formulated according to the real cause. Results After the QCC activities, the rate of puerperal infection decreased fi＇om 3.17% （52/1 641） to 0.91% （15/1 667, P 〈 0.05）. Among them, the rate of perineal incision infection decreased from 2.07% （34/1 641） to 0.54% （9/1 667, P 〈 0.05）. The rate of upper respirato infection decreased from 1.10% （18/1 641） to 0.36% （6/1 667, P 〈 0. 05）. Conclusion QCC activities not only can significantly reduce the rate of puerperal infection, improve medical quality and safety and the patients＇ satisfaction, but also deepen the communication in the medical workers, enhance their ability to work together and to identify and solve problems.