精细化管理在基层医院介入室预防医院感染中的应用
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摘要
目的探讨精细化管理理念在基层医院介入室预防医院感染中的应用价值。方法就基层医院介入室特点,建立院感质控组织,对人员、物品、环境三大流程及室内空气消毒、手消毒、无菌操作三大环节实施精细化管理。结果经过统计考核,进入介入室人员完成标准化流程依从性达到98.9%(P<0.05),介入室内空气监测合格率达到100%(P>0.05),污染物处置合格率100%(P<0.05);手术感染率为0(P<0.05)。结论精细化管理可以提高介入室控制感染的能力和水平,为患者提供更优质的医疗服务。
Objective To explore the application value of the sophisticated management philosophy which prevent nosocomial infection in interventional room of basic-level hospitals. Methods According to the characteristics of basiclevel hospital interventional room, to establish hospital quality control organization. To implement sophisticated management in three processes including personnel, goods and environment, and in three links of indoor air disinfection, hand disinfection, aseptic operating. Results Through statistical evaluation, the rate of personnel who enter the intervention room compliance completed standardization process reached 98.9%(P<0.05), interventional room air monitoring qualified rate reached 100%(P>0.05), the pollutant management qualification rate reached 100%(P<0.05), surgical infection rate was 0(P<0.05). Conclusion Sophisticated management can improve the ability and level of nosocomial infection control in interventional room, also provide better medical service for patients.
Objective To explore the application value of the sophisticated management philosophy which prevent nosocomial infection in interventional room of basic-level hospitals. Methods According to the characteristics of basiclevel hospital interventional room, to establish hospital quality control organization. To implement sophisticated management in three processes including personnel, goods and environment, and in three links of indoor air disinfection, hand disinfection, aseptic operating. Results Through statistical evaluation, the rate of personnel who enter the intervention room compliance completed standardization process reached 98.9%(P<0.05), interventional room air monitoring qualified rate reached 100%(P>0.05), the pollutant management qualification rate reached 100%(P<0.05), surgical infection rate was 0(P<0.05). Conclusion Sophisticated management can improve the ability and level of nosocomial infection control in interventional room, also provide better medical service for patients.
引文
[1]易利华.医院精细化管理概论[M].北京:人民卫生出版社,2010:10-80.
[2]罗轶玮,李萍,王朝昕,等.医务处精细化管理理论与实践[J].中国医院,2013,8(17):76-77.
[3]卫生部.WS/T368-2012医院空气净化管理规范[M].北京:中国标准出版社,2012:1-8.
[4][美]格雷班,著,张国萍,等译.精益医院[M].北京:机械工业出版社,2011:1-18.
[5][美]詹姆斯·钱皮,哈里·格林斯潘,著.张丹,商国印,金敬红,等译.再造医疗[M].北京:机械工业出版社,2013:75-86.
[6]Michael O Harhay,Scott D Halpern,Jason S Harhay,et al.Health care waste management:A neglected and growing public health problem worldwide[J].Tropical Medicine&Internation Health,2009,14(11):1414-1417.
[7]张雪梅,付丽军,李国华.持续质量改进在综合性介入手术室医院感染防控中的应用[J].新疆医科大学学报,2013,8(36):1171-1175.
[8]Pronovost P,Needham D,Berenholtz S,et al.Anintervention to decrease catheter related bloodstream infections in the ICU[J].Nengle J Med,2006,355(28):2725-2732.
[9]王宝娜,王利,马晓灵.精细化管理在静脉输液港日常护理流程中的应用[J].齐鲁护理杂志,2014,1(20):110-111.
[10]邵卫东.手部卫生与医院感染[J].现代中西医结合杂志,2007,16(20):2953-2954.
[11]李月玲.我国医务人员手卫生的影响因素及对策[J].中华医院感染学杂志,2007,8(14):201-202.
[12]王建儒,张奎渤,刘辉,等.经皮椎体后凸成形术术中不同辐射防护距离的对比研究[J].中国脊柱脊髓杂志,2014,24(5):417-421.
[13]武汉,高中礼,吕中文,等.脊柱外科医生所受射线辐射危险及防护措施进展[J].中国骨伤,2009,22(11):874-876.
[14]梁洪蒙,单淑娟.国内医院医疗废物管理中存在的问题及建议[J].中国护理管理,2011,11(12):77-78.
[15]陈敏亚,郑孔,林满讳.医疗废物闭环管理模式实践与研究[J].中华医院管理杂志,2014,30(1):75-76.
[2]罗轶玮,李萍,王朝昕,等.医务处精细化管理理论与实践[J].中国医院,2013,8(17):76-77.
[3]卫生部.WS/T368-2012医院空气净化管理规范[M].北京:中国标准出版社,2012:1-8.
[4][美]格雷班,著,张国萍,等译.精益医院[M].北京:机械工业出版社,2011:1-18.
[5][美]詹姆斯·钱皮,哈里·格林斯潘,著.张丹,商国印,金敬红,等译.再造医疗[M].北京:机械工业出版社,2013:75-86.
[6]Michael O Harhay,Scott D Halpern,Jason S Harhay,et al.Health care waste management:A neglected and growing public health problem worldwide[J].Tropical Medicine&Internation Health,2009,14(11):1414-1417.
[7]张雪梅,付丽军,李国华.持续质量改进在综合性介入手术室医院感染防控中的应用[J].新疆医科大学学报,2013,8(36):1171-1175.
[8]Pronovost P,Needham D,Berenholtz S,et al.Anintervention to decrease catheter related bloodstream infections in the ICU[J].Nengle J Med,2006,355(28):2725-2732.
[9]王宝娜,王利,马晓灵.精细化管理在静脉输液港日常护理流程中的应用[J].齐鲁护理杂志,2014,1(20):110-111.
[10]邵卫东.手部卫生与医院感染[J].现代中西医结合杂志,2007,16(20):2953-2954.
[11]李月玲.我国医务人员手卫生的影响因素及对策[J].中华医院感染学杂志,2007,8(14):201-202.
[12]王建儒,张奎渤,刘辉,等.经皮椎体后凸成形术术中不同辐射防护距离的对比研究[J].中国脊柱脊髓杂志,2014,24(5):417-421.
[13]武汉,高中礼,吕中文,等.脊柱外科医生所受射线辐射危险及防护措施进展[J].中国骨伤,2009,22(11):874-876.
[14]梁洪蒙,单淑娟.国内医院医疗废物管理中存在的问题及建议[J].中国护理管理,2011,11(12):77-78.
[15]陈敏亚,郑孔,林满讳.医疗废物闭环管理模式实践与研究[J].中华医院管理杂志,2014,30(1):75-76.