目视化标识管理在综合医院中医科医院感染管理中的应用

Application of visualization labeling management in healthcare-associated infection management in department of traditional Chinese medicine of a general hospital

目的探讨目视化标识管理在综合医院中医科医院感染管理中的应用成效。方法选取某综合医院中医科,2016年5—8月为干预前,采取传统管理方法,2016年9月—12月为干预后,运用颜色、标识、流程图等目视化标识管理模式对中医科实施管理。比较干预前后医院感染防控质量检查结果及环境卫生学监测结果。结果目视化标识管理模式实施前后医务人员医院感染预防和控制相关理论知识测试总分分别为(71.90±10.89)分、(88.47±5.85)分,两者比较差异有统计学意义(t=2.08,P<0.05)。实施目视化标识管理后,医院感染预防与控制质量检查的手卫生、消毒隔离、无菌操作、医疗废物及职业暴露各项指标评分均高于干预前,差异均有统计学意义(均P<0.05),实施目视化标识管理后,环境卫生学监测合格率(82.43%)高于干预前(46.58%),差异有统计学意义(χ~2=29.79,P=0.000),其中干预后物体表面、医生和保洁人员卫生手合格率均高于干预前,差异均有统计学意义(均P<0.05)。护士卫生手合格率干预前后比较,差异无统计学意义(P>0.05)。结论运用目视化标识管理方法能够提高中医科医院感染管理质量,增强医务人员感控意识,降低医院感染发生的风险。

Objective To explore the application efficacy of visualization labeling management in healthcare-associa-ted infection(HAI)management in department of traditional Chinese medicine of a general hospital.Methods Department of traditional Chinese medicine in a general hospital was selected,May-August 2016 was pre-intervention group,September-December 2016 was post-intervention group.Color,logo,flow chart,and other visual labeling management models were applied to the management of the department of traditional Chinese medicine.Quality inspection results and environmental hygiene monitoring of HAI prevention and control before and after intervention was compared.Results Before and after the implementation of visual labeling management model,health care workers’total scores in testing of theoretical knowledge on HAI prevention and control were(71.90±10.89)and(88.47±5.85)respectively,difference was statistically significant(t=2.08,P<0.05).After the implementation of visual labeling management,the scores in hand hygiene,disinfection and isolation,aseptic manipulation,medical waste,and occupational exposure of HAI prevention and control quality inspection were all higher than those before intervention,difference were all statistically significant(all P<0.05).After the implementation of visual labeling management,the qualified rate of environmental hygiene monitoring was higher than that before intervention,difference was statistically significant(82.43%vs 46.58%,χ2=29.79,P=0.000),the qualified rate of object surface,hands of doctors and cleaning staff were all higher than those before intervention,differences were all statistically significant(all P<0.05).There was no significant difference in the qualified rate of nurses’hygiene hand before and after intervention(P>0.05).Conclusion The adoption of visual label management can improve the quality of HAI management in department of traditional Chinese medicine,enhance health care workers’awareness on control of HAI,and reduce the risk of occurrence of HAI.