持续质量改进在多重耐药菌感染控制中价值探析.docVIP

持续质量改进在多重耐药菌感染控制中价值探析 　　摘要：目的 探讨在医院多重耐药菌的感染控制中应用持续质量改进的价值分析。方法 选取2015年1月～12月入住医院重症监护室的133例患者作为持续质量改进前组，在2016年1月～9月开展持续质量改进，将2016年1月～9月医院重症监护室的126例患者作为持续质量改进组，比较两组患者感染控制措施执行情况。结果 持续质量改进组的多重耐药菌感染防控措施的落实情况明显优于改进前组，改进后各项执行率明显高于执行前，执行前后差异具有统计学意义（P0.05）；执行持续质量改进后，多重耐药菌感染率明显低于改进前，改进前后感染率差异具有统计学意义（P0.05）。结论 在医院多重耐药菌的感染控制中应用持续质量改进的效果显著，值得在医院推广使用。 　　关键词：持续质量改进；多重耐药菌；感染控制；临床应用 　　Abstract：Objective To investigate the application of continuous quality improvement in infection control of multi drug resistant bacteria in hospital. Methods 133 cases of ICU patients admitted to the hospital in January to December of 2015 as a continuous quality improvement in the former group，From January 2016 to September to carry out continuous quality improvement，from January 2016 to September，126 patients in the hospital intensive care unit as a continuous quality improvement group，compared the implementation of infection control measures in the two groups of patients. Results The implementation of prevention and control measures of multi drug resistant bacteria is better than that of continuous quality improvement group infection before improvement group，improved the execution rate was significantly higher than that of before the execution，with significant difference （P0.05） before and after the execution；execution of continuous quality improvement，multi drug resistant bacteria infection rate was significantly lower than that before the improvement，and improved the infection rate difference was statistically significant（P0.05）. Conclusion The application of continuous quality improvement in infection control of multi drug resistant bacteria in hospital has significant effect，it is worthy of promotion in the the hospital. 　　Key words：Continuous quality improvement；Multi drug resistant bacteria；Infection control；Clinical application 　　近年来随着抗菌药物的使用越来越广泛，多重耐药菌（multidrug-resist-ant-organism，MDRO）的问题已越来越严重，给临床感染的防控带来极大挑战，给患者治疗增加经济和精神压力[1.2]。持?m质量改进（continuoys quality improvement，CQI）是一套标准、科学的质量