PDCA循环管理法在重症医学科医院感染控制工作中的应用效果

Application of PDCA in nosocomial infection control in ICU

目的:分析PDCA循环管理法在重症医学科医院感染控制工作中的应用效果。方法:对2016年至2017年期间四川省会理县人民医院重症医学科的医院感染控制工作进行回顾性分析。自2017年起,该医院在重症医学科的医院感染控制工作中应用PDCA循环管理法。对比实施PDCA循环管理前后该医院重症医学科医院感染的控制情况。结果:与实施PDCA循环管理前相比,实施PDCA循环管理后该医院重症医学科患者医院感染的发生率较低,该科医护人员手卫生的合格率与考核成绩的合格率均较高,对该科的呼吸机及心电监护仪面板、呼吸机湿化罐水槽、氧气湿化瓶、门把手、空气、医护人员的手等进行环境卫生学监测的合格率也较高,P<0.05。结论:在重症医学科的医院感染控制工作中应用PDCA循环管理法可显著降低该科患者医院感染的发生率,提高该科医护人员手卫生的合格率和考核成绩的合格率,并能提高对该科进行环境卫生学监测的合格率。

objective： to analyze the application effect of PDCA circulation management method in the hospital infection control of the icu. Methods： a retrospective analysis was made of the hospital infection control in the icu department of huili people＇s hospital of sichuan province from 2016 to 2017. Since 2017, the hospital has applied the PDCA cycle management method in the hospital infection control work of the icu. The control of hospital infection in icu was compared before and after PDCA cycle management. Results： compared with before the PDCA cycle management, the implementation of the PDCA cycle management after the hospital patients with severe medicine lower the incidence of hospital infection, the division qualification rate of medical staff hand hygiene and the appraisal result of pass rate is higher, to the division of the breathing machine and ecg monitoring instrument panels, breathing machine of wetting can sink, oxygen bottles, door handles, wet process air, hands of medical staff, environmental hygiene monitoring qualified rate is higher, P〈0.05）. Conclusion： the application of PDCA cycle management in the hospital infection control of the icu can significantly reduce the incidence of hospital infection in the icu, improve the qualified rate of hand hygiene of the medical staff in the icu, and improve the qualified rate of environmental hygiene monitoring in the icu.