2023年湖北省482家医院医院感染管理信息化监测现况及其影响因素

Current situation of informationalized surveillance of nosocomial infection in 482 hospitals of Hubei Province in 2023 and its influencing factors

目的了解湖北省医疗机构医院感染管理信息化监测现况及其影响因素。方法2023年4月7日-5月4日,采用网络问卷调查方式,对湖北省二级及以上医疗机构进行调查。结果参与调查的482所医疗机构中,医院信息管理系统(HIS)、临床检验系统(LIS)、电子病历系统(EMR)、影像信息系统(RIS)、手术麻醉系统(AIMS)、移动护理系统(MNIS)的上线率分别为84.65%、76.97%、89.21%、65.98%、43.98%、26.56%,不同规模医疗机构的上线率差异有统计学意义(P<0.05);213所(44.19%)有独立医院感染监测系统,医疗机构是否上线独立医院监测系统与医院等级、类别、属性、床位数以及HIS、EMR等信息化基础建设有关(P<0.05),且有独立医院感染监测系统的医疗机构更愿意参加感染监测数据上报(P<0.05)。结论应加大对二级、专科、民营医疗机构的信息化建设支持力度,从而提升全省医院感染监测水平。

OBJECTIVE To analyze the current situation of informationalized surveillance of nosocomial infection and its influencing factors in Hubei province.METHOD From Apr.7th to May 4th,2023,a network questionnaire was used to survey the secondary and tertiary hospitals in Hubei province.RESULTS Among the 482 hospitals participating in this survey,the rate of equipping hospital information system(HIS),laboratory information system(LIS),electronic medical records(EMR),radiology information system(RIS),anesthesia information manage-ment system(AIMS),mobile nursing information system(MNIS)were 84.65%,76.97%,89.21%,65.98%,43.98%and 26.56%,respectively,with statistically significant difference in the online rates of medical institutions of different sizes(P<0.05).213 hospitals(44.19%)were equipped with independent system for nosocomial in-fection surveillance,and the application of independent system for nosocomial infection surveillance was associated with the level,category,attribute,number of beds,and also was related to the information construction such as HIS and EMR(P<0.05).Moreover,hospitals with independent system for nosocomial infection surveillance weremore willing to participate in reporting the surveillance data of nosocomial infection(P<0.05).