精细化管理在介入手术室预防医院感染中的应用价值研究.docVIP

精细化管理在介入手术室预防医院感染中的应用价值研究 　　[摘要]目的 探讨精细化管理在医院介入手术室预防医院感染中的应用效果。方法 我院于2015年6～12月在医院介入手术室实施精细化管理，结合我院介入手术室实际工作情况以及工作特点建立医院感染预防控制小组，针对介入手术室内人员、物品、环境等实施精细化管理，将精细化管理应用于室内空气消毒、手部消毒等工作标准中。统计对比实施精细化前后我院介入手术室内消毒行为、空气质量、污染物处置以及切口感染率等指标。结果 实施精细化管理后，我院介入手术室消毒行为合格率（95.0%）、污染物处置合格率（92.9%）与实施精细化管理之前的76.8%、61.5%相比明显升高，同时切口感染率（0.7%）与实施精细化管理前（6.8%）相比则明显下降（P0.05）。结论 精细化管理在医院介入手术室预防医院感染中的应用具有良好效果，能显著提升消毒行为合格率及污染物处置合格率，同时可降低患者切口感染率，值得临床推广。 　　[关键词]精细化管理；介入手术室；医院感染；预防 　　[中图分类号] R612 [文献标识码] A [文章编号] 1674-4721（2016）10（c）-0170-03 　　[Abstract]Objective To explore the application effect of fine management in the prevention of nosocomial infection in the interventional operation room.Methods From June to December 2015，fine management was conducted in the interventional operation room of our hospital.Hospital infection prevention and control group was established according to practical work of operation room and work characteristics in our hospital.Fine management was conducted in view of personnel， goods， environment and so on of interventional operation room，fine management was applied to indoor air disinfection，hand disinfection and other work standards.Indoor disinfection，air quality，pollutant treatment and incision infection rate and other indicators before and after fine management in the interventional operation room of pour hospital was given statistical comparison.Results After the implement of fine management，qualified rate of disinfection behavior （95.0%），qualification rate of disposal of pollutants （92.9%） was obviously improved compared with before fine management （76.8%， 61.5%） in interventional operation room of our hospital （P0.05）. Conclusion The fine management has a good effect in the prevention of nosocomial infection in the interventional operation room，and it can significantly improve the qualified rate of disinfection behavior and disposal of pollutants，and reduce the the rate of incision infection in patients.It is worthy of clinical application. 　　[Key words]Fi