医院感染管理中应用风险管理的效果分析

Analysis of the Effect of Applying Risk Management in Hospital Infection Management

目的探析医院感染管理中应用风险管理的效果。方法观察该院2018年7月—2019年6月医院感染管理情况,其中2018年7—12月运用常规管理模式,2019年1—6月应用风险管理模式。观察对比风险管理实施前后感染风险分值、风险管理实施情况、医疗质量及各科室感染事件发生率。结果风险管理实施前后医院管理指标感染风险分值分别为[(15.03±3.39)分vs(12.38±3.11)分],过程指标分别为[(18.99±4.12)分vs(16.21±3.65)分],结果指标分别为[(26.37±3.70)分vs(21.29±3.37)分],总分分别为[(46.35±4.62)分vs(39.12±3.06)分],实施前后差异有统计学意义(P<0.05);风险管理实施后,各科室手卫生依从率、手卫生合格率、培训合格率、环境微生物监测合格率、治疗性抗菌药物使用前病原学送检率、使用呼吸机、中心静脉导管和导尿管规范率分别为60.50%、71.00%、95.00%、98.50%、34.00%、89.00%,均显著高于实施前的44.00%、37.00%、82.50%、90.00%、16.00%、69.50%,差异有统计学意义(P<0.05);风险管理实施前后,医护人员操作技术评分分别为[(86.45±12.17)分vs(90.32±2.56)分],医护协作评分分别为[(87.12±10.96)分vs(92.45±3.31)分],风险防范能力评分分别为[(86.50±10.61)分vs(94.47±3.31)分],抗菌药物质量管理评分分别为[(89.54±10.47)分vs(94.68±3.05)分],健康教育管理评分分别为[(88.62±11.35)分vs(93.76±2.98)分],实施后医疗质量评分均高于实施前,差异有统计学意义(P<0.05);风险管理实施后,医院感染事件总发生率显著低于实施前(15.00%vs 5.50%),差异有统计学意义(P<0.05)。结论在医院感染管理中实施风险管理,能有效规避医院感染风险,提高医院管理效果和医疗质量,最大程度降低医院感染发生率,保证医疗安全。

Objective To explore the effect of applying risk management in hospital infection management.Methods Observed the hospital infection management situation in the hospital from July 2018 to June 2019.Among them,the routine management model was used from July to December 2018,and the risk management model was used from January to June 2019.Observed and compared the infection risk scores before and after the implementation of risk management,the implementation of risk management,the quality of medical care,and the incidence of infection events in each department.Results Before and after the implementation of risk management,the hospital management index infection risk scores were[(15.03±3.39)points vs(12.38±3.11)points],and the process indicators were[(18.99±4.12)points vs(16.21±3.65)points],the result indicators were[(26.37±3.70)points vs(21.29±3.37)points],the total scores were[(46.35±4.62)points vs(39.12±3.06)points],the difference before and after implementation was statistically significant(P<0.05);After the implementation of risk management,the hand hygiene compliance rate,hand hygiene qualification rate,training qualification rate,environmental microbiological monitoring qualification rate,pathogen inspection rate before the use of therapeutic antibacterial drugs,use of ventilator,the normative rates of central vein catheters and catheters were 60.50%,71.00%,95.00%,98.50%,34.00%,89.00%,which were significantly higher than the pre-implementation of 44.00%,37.00%,82.50%,90.00%,16.00%,69.50%,the difference was statistically significant(P<0.05);before and after the implementation of risk management,the operational skill scores of medical staff were[(86.45±12.17)points vs(90.32±2.56)points],and the medical-nursing collaboration scores were respectively[(87.12±10.96)points vs(92.45±3.31)points],risk prevention ability scores were[(86.50±10.61)points vs(94.47±3.31)points],antimicrobial quality management scores were[(89.54±10.47)points vs(94.68±3.05)points],and the health education management scores were[(88.62±11.35)points vs(93.76±2.98)points],after the implementation,the medical quality scores were higher than before the implementation,the difference was statistically significant(P<0.05);after the implementation of risk management,the total incidence of nosocomial infections was significantly lower than before implementation(15.00%vs 5.50%),the difference was statistically significant(P<0.05).Conclusion Implementing risk management in hospital infection management can effectively avoid hospital infection risks,improve hospital management effectiveness and medical quality,minimize the incidence of hospital infections,and ensure medical safety.