依照JCI评审标准控制多重耐药菌医院感染的效果研究
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摘要
目的探讨依照JCI评审标准对控制多重耐药菌医院感染的影响。方法通过成立多重耐药菌多部门联合管理小组、查找问题、开展全员培训、持续质量改进等措施,将依照JCI评审标准对多重耐药菌感染实施管理前后1年的隔离措施执行率和医院感染管理质量控制指标进行比较。结果依照JCI评审标准能有效提高多重耐药菌感染患者隔离措施执行率(P<0.01或P<0.05),明显改善了医院感染管理质量控制指标尤其是多重耐药菌感染发现率(P<0.05)。结论依照JCI评审标准对多重耐药菌感染患者进行管理,能有效提高多重耐药菌感染患者隔离措施执行率,明显改善医院感染质量控制指标,对于降低医院多重耐药菌感染发现率具有积极意义,值得临床推广应用。
Objective To investigate the impact of Joint Commission International(JCI) accreditation standards on the controlling of hospital infection with multidrug-resistant organism(MDRO).Methods Measures were set up including establishing MDRO multi-department joint management team,finding problems,organizing entire personnel training,continous quality improvement,comparing quarantine measures executive rate and hospital infection management quality control index before and after the one year by controlling hospital infection with MDRO abased on JCI accreditation standards.Results The implementation of JCI accreditation standards increased the executable rate of quarantine measures for patients with MDRO infection(P<0.01 orP<0.05),and improved the quality control index of nosocomial infection management,particularly decreased the detection rate of MDRO infection(P<0.05).Conclusion The implementation of JCI accreditation standards can effectively increase the executable rate of quarantine measures for patients with MDRO infection,dramatically improve the quality control index of nosocomial infection management,significantly decrease the detection rate of MDRO infection,which is worth to spread the clinical application.
Objective To investigate the impact of Joint Commission International(JCI) accreditation standards on the controlling of hospital infection with multidrug-resistant organism(MDRO).Methods Measures were set up including establishing MDRO multi-department joint management team,finding problems,organizing entire personnel training,continous quality improvement,comparing quarantine measures executive rate and hospital infection management quality control index before and after the one year by controlling hospital infection with MDRO abased on JCI accreditation standards.Results The implementation of JCI accreditation standards increased the executable rate of quarantine measures for patients with MDRO infection(P<0.01 orP<0.05),and improved the quality control index of nosocomial infection management,particularly decreased the detection rate of MDRO infection(P<0.05).Conclusion The implementation of JCI accreditation standards can effectively increase the executable rate of quarantine measures for patients with MDRO infection,dramatically improve the quality control index of nosocomial infection management,significantly decrease the detection rate of MDRO infection,which is worth to spread the clinical application.
引文
[1]钟爱玉,戴鋆,方咏梅.综合干预措施降低多重耐药菌感染研究[J].中国感染控制杂志,2012,11(4):287-292.
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[5]李义娟,李玉英,赵灿.JCI标准下手卫生与肿瘤化疗患者感染的相关性研究[J].当代护士,2016,23(4B):111-113.
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[8]王靖,赵应兰,杨爱芝.重症监护病房控制多重耐药菌感染的体会[J].护士进修杂志,2010,25(9):860-861.DOI:10.16821/j.cnki.hsjx.2010.09.048.
[9]余秀珍.医生手卫生依从性的影响因素及对策分析[J].中国实用护理杂志,2012,28(5):64-65.DOI:10.3760/,2012,28(5):64-65.DOI:10.3760/cma.j.issn.1672-7088.2012.05.074.
[10]易利华,卫蕾,孙军霞.基于JCI标准的医院保洁工具集中清洗消毒实践探讨[J].中国医院管理,2017,37(3):74-75.
[11]方圆,李晓华,刘平,等.JCI标准PDCA循环法在抗菌药物管理中的应用[J].医药导报,2016,35(2):212-214.DOI:10.3870/j.issn.1004-0781.2016.02.030.
[12]马士红.感控干预在多重耐药菌医院感染控制中的应用效果[J].中国当代医药,2016,23(3):134-136.
[13]刘敏,孔倩,冯其梅.感控专职小组在ICU多重耐药菌医院感染控制中的作用[J].中国护理管理,2016,16(11):1552-1555.DOI:10.3969/j.issn.1672-1756.2016.11.025.
[14]詹昱新,乐革芬,欧阳燕,等.集束化干预措施在神经外科多重耐药菌感染管理中的应用探讨[J].护理管理杂志,2017,17(7):493-495.
[15]朱玉娟.综合干预对重症医学科医务人员手卫生的影响[J].现代医药卫生,2013,29(18):2863-2864.DOI:10.3969/j.issn.1009-5519.2013.18.089.
[16]蒋菊英,方兴,苏骏灵,等.手术室医务人员感染知识及手卫生执行现状调查[J].中华医院感染学杂志,2014,24(1):231-232.DOI:10.11816/cn.ni.2014-131181.
[17]张建娜,陈晓莉,叶磊.急诊ICU多重耐药菌医院感染控制的综合干预效果评价[J].护理管理杂志,2017,17(12):926-928.
[2]黄勋,邓子德,倪语星,等.多重耐药菌医院感染预防与控制中国专家共识[J].中国感染控制杂志,2015,14(1):1-8.DOI:10.3969/j.issn.1671-9638.2015.01.001.
[3]李广辉,李晓华,赖耀文,等.JCI标准下PIVAS的质量管理实践[J].中国药房,2015,26(16):2229-2232.DOI:10.6039/j.issn.1001-0408.2015.16.22.
[4]饶春梅,孙静,朱海华.JCI认证下对患者系统化护理评估的效果研究[J].护理管理杂志,2017,17(2):148-149.
[5]李义娟,李玉英,赵灿.JCI标准下手卫生与肿瘤化疗患者感染的相关性研究[J].当代护士,2016,23(4B):111-113.
[6]袁玉华,同俏静,赵凯,等.JCI医院评审中医院感染的预防与控制标准的执行与体会[J].中华护理杂志,2008,43(2):175-177.
[7]李运萍,潘丽杰,肖红,等.JCI评审中感染控制质量持续改进的实践[J].中华医院感染学杂志,2013,23(15):3705-3707.
[8]王靖,赵应兰,杨爱芝.重症监护病房控制多重耐药菌感染的体会[J].护士进修杂志,2010,25(9):860-861.DOI:10.16821/j.cnki.hsjx.2010.09.048.
[9]余秀珍.医生手卫生依从性的影响因素及对策分析[J].中国实用护理杂志,2012,28(5):64-65.DOI:10.3760/,2012,28(5):64-65.DOI:10.3760/cma.j.issn.1672-7088.2012.05.074.
[10]易利华,卫蕾,孙军霞.基于JCI标准的医院保洁工具集中清洗消毒实践探讨[J].中国医院管理,2017,37(3):74-75.
[11]方圆,李晓华,刘平,等.JCI标准PDCA循环法在抗菌药物管理中的应用[J].医药导报,2016,35(2):212-214.DOI:10.3870/j.issn.1004-0781.2016.02.030.
[12]马士红.感控干预在多重耐药菌医院感染控制中的应用效果[J].中国当代医药,2016,23(3):134-136.
[13]刘敏,孔倩,冯其梅.感控专职小组在ICU多重耐药菌医院感染控制中的作用[J].中国护理管理,2016,16(11):1552-1555.DOI:10.3969/j.issn.1672-1756.2016.11.025.
[14]詹昱新,乐革芬,欧阳燕,等.集束化干预措施在神经外科多重耐药菌感染管理中的应用探讨[J].护理管理杂志,2017,17(7):493-495.
[15]朱玉娟.综合干预对重症医学科医务人员手卫生的影响[J].现代医药卫生,2013,29(18):2863-2864.DOI:10.3969/j.issn.1009-5519.2013.18.089.
[16]蒋菊英,方兴,苏骏灵,等.手术室医务人员感染知识及手卫生执行现状调查[J].中华医院感染学杂志,2014,24(1):231-232.DOI:10.11816/cn.ni.2014-131181.
[17]张建娜,陈晓莉,叶磊.急诊ICU多重耐药菌医院感染控制的综合干预效果评价[J].护理管理杂志,2017,17(12):926-928.