PDCA循环在多药耐药菌预防控制措施执行中的应用效果评价

Effect of PDCA cycle method on the implementation of multiple drug resistant organism prevention and control measures

目的探讨PDCA(Plan-do-check-action)循环法在提高多药耐药菌预防控制措施执行率中的应用效果。方法调查医院2017年3月-2017年8月多药耐药菌感染病例预防控制措施执行情况,2017年9月-2018年2月运用PDCA循环法干预多药耐药菌感染预防控制措施的执行情况,对比PDCA循环法实施前后执行率。结果 PDCA循环法实施前后,多药耐药菌预防控制措施执行率差异具有统计学意义,住院患者多药耐药菌预防控制措施总执行率从69.76%提高至86.36%。结论 PDCA循环法应用后,完善制度、梳理流程、规范管理,可有效地提高医院住院患者多药耐药菌预防控制措施执行率。

OBJECTIVE To explore the application effect of PDCA circulation method on improving the implementation rate of prevention and control measures for multidrug-resistant organism. METHODS A retrospective survey was conducted to investigate the implementation of prevention and control measures for inpatients with multidrug-resistant organism infection from Mar. 2017 to Aug. 2017;PDCA circulation method was used to intervene in the implementation of traditional measures from Sep. 2017 to Feb. 2018. The implementation rate of prevention and control measures before and after using PDCA circulation method was compared. RESULTS There was a significant difference in the implementation rate of multiple drug-resistant organism prevention and control measures before and after PDCA circulation intervention. The total implementation rate of multiple drug-resistant organism prevention and control measures in inpatients increased from 69.76% to 86.36%. CONCLUSION PDCA circulation method can effectively improve the implementation rate of multiple drug-resistant organism prevention and control measures by improving the system, optimizing the process and standardizing the management.