摘要
目的观察PDCA循环法在基层医院多重耐药菌防控管理中的应用效果。方法以我院20名医务人员作为研究对象,在多重耐药菌防控管理计划中,2016年1～12月采取常规管理法,2017年1～12月实施PDCA循环管理法。比较20名医务人员在两个年度中的各项考核与评估结果。从两个年度中各收集20份细菌培养标本,检测其中金黄色葡萄球菌、铜绿假单胞菌以及大肠埃希菌的存在情况。结果 2017年度的手卫生执行率(100.00%)、耐药菌知识考核合格率(95.00%)、消毒隔离合格率(100.00%)均高于2016年度(55.00%、50.00%、65.00%),差异有统计学意义(P<0.05)。2017年度的目标菌总检出率(15.00%)低于2016年度(60.00%),差异有统计学意义(P<0.05)。结论基层医院在多重耐药菌防控管理中采取PDCA循环法,可以强化工作人员的防感染意识,有效预防院内感染。
Objective To observe the application effect PDCA cycle in the prevention and control of multi-drug resistant bacteria in primary hospitals. Methods Twenty medical staff in our hospital were selected as research objects. In the multi-drug resistant prevention and control management plan, the routine management method was adopted from January to December 2016, and the PDCA cycle management was implemented from January to December 2017. The performance and assessment of the 20 medical staff in two years were compared. Twenty bacterial culture specimens each year were collected to detect the presence of staphylococcus aureus, pseudomonas aeruginosa and escherichia coli.Results The implementation rate of hand hygiene, the qualified rate of drug-resistant bacteria knowledge, and qualified rate of disinfection and isolation in 2017 were 100.00%, 95.00%,100.00%, which were higher than those in 2016 accounting for 55.00%, 50.00%, and 65.00% respectively, and the differences were statistically significant(P<0.05). The total detection rate of the three target bacteria in 2017 was 15.00%, which was lower than that in 2016 accounting for60.00%. Conclusion The PDCA cycle method adopted in the prevention and control of multi-drug-resistant bacteria in primary hospitals can strengthen the staff′s awareness of anti-infection and effectively prevent nosocomial infection.
作者
朱玉艳
王青青
ZHU Yu-yan;WANG Qing-qing(Department of Hospital Infection Management,Hongze People's Hospitalin,Huaian City,Jiangsu Province,Huaian 223100,China;Hongze People's Hospitalin,Huaian City,Jiangsu Province,Huaian 223100,China)
出处
《中国当代医药》
2018年第35期154-156,共3页
China Modern Medicine
关键词
PDCA循环法
基层医院
多重耐药菌防控管理
PDCA cycle
Primary hospital
Multi-drug resistant prevention and control management
作者简介
通讯作者:王青青
