循环管理对提高医务人员手卫生依从性的效果分析.pdfVIP

中国医疗管理科学2016年7月第6卷第4期  Chinese Journal of Medical Management Sciences,  July 2016, Vol.6 No.4 27 ·研究与实践· FOCUS-PDCA循环管理对提高医务人员手卫生 依从性的效果分析 刘建明   陈雪霞   谭智   谭妙莲   刘霞   陈虹   刘大钺 摘要 目的 【 】 探讨 FOCUS-PDCA 循环管理在提高医护人员手卫生依从性中的作用，为医院做好手卫生管理提供依据。 方法 以三级甲等综合性医院复评为契机，运用 FOCUS-PDCA 循环分析我院医务人员手卫生现状，并据此制定、落实持续改 进措施，以措施实施后医护人员手卫生依从性改进情况作为的效果评价指标。结果 医务人员手卫生知晓率、执行率和正确率 在干预后均较有显著提升，医院感染及手术部位感染发生率与同期相比显著下降。 结论 FOCUS-PDCA 循环方法有利于推动 手卫生管理的持续改进，可有效提高医务人员手卫生意识和依从性，有助于降低医院感染发生。 关键词 【 】 医院评审；FOCUS-PDCA 循环；手卫生；医院感染 Effect analysis of FOCUS-PDCA cyclical management on improving the compliance of hand hygiene of medical staff Liu Jianming, Chen Xuexia, Tan Zhi, et al. The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China Corresponding author: Liu Dayue, Email:nematode@163.com Abstract Objective The paper aims to explore into effect of FOCUS-PDCA cyclical management on improving the 【 】 compliance of hand hygiene of medical staff and provide basis for the hospital to carry out hand hygiene management. Method Review of Grade III Class A Hospital is regarded as an opportunity, FOCUS-PDCA cycle is used to analyze present situation of hand hygiene of medical staff in our hospital and continuous improvement measures are formulated and implemented accordingly; improvement of the compliance of hand hygiene of medical staff after implementation of measures are deemed to be effect evaluation indexes. Result Medical staff’s hand hygiene awareness rate, implementation rate and accuracy are greatly improved after interference; incidence rates of hos