运用PDCA降低神经外科医院感染发病率的临床效果.pdfVIP

运用PDCA降低神经外科医院感染发病率的临床效果

曹兰芳;尹勇;戴成国;石晓院;邹楠茜;吴健

【摘要】目的研究运用PCDA对降低神经外科医院感染发病率的效果.方法成立

品管圈活动小组,制定活动方案,采用PDCA四个阶段十个步骤,观察某院神经外科

PDCA实施前(2015年9-11月)与实施后(2016年5-7月)医院感染发病率,从手卫

生、无菌技术操作、环境清洁卫生执行情况方面分析原因找出对策,并进行为期6

个月的质量持续改进.结果PDCA实施前与实施后进行比较,神经外科医院感染发病

率由10.9％降低至5.8％,差异有统计学意义(P＜0.05),达标率为100％,实施后医院

感染发病率降幅达46.8％;手卫生执行率由27.2％上升至76.9％,无菌技术操作执

行率由76.0％上升至96.9％,环境清洁卫生由51.0％上升至90.0％,实施前后比较

差异均具有统计学意义(均P＜0.001).结论多部门联合开展品管圈活动能降低神经

外科医院感染发病率,使制度得到落实,措施得到进一步完善,值得在临床推广应

用.%ObjectiveTostudytheeffectofapplicationofplan-do-check-act

(PDCA)onreducingtheincidenceofhealthcare-associatedinfection(HAI)

indepartmentofneurosurgery.MethodsQualitycontrolcircleactivity

groupwasestablished,programmeofactivitieswasformulated,fourstages

andtenstepsofPDCAwereadopted,incidencesofHAIindepartmentof

neurosurgerybefore(September-November2015)andafter(May-July

2016)theimplementationofPDCAwereobserved,causeswereanalyzed

basedonimplementationofhandhygiene,aseptictechnique

manipulation,andenvironmentalsanitation,countermeasureswerefound

out,andcontinuousqualityimprovementwasperformedfor6

months.ResultsComparisonbetweenbeforeandafterimplementationof

PDCAwasconducted,incidenceofHAIindepartmentofnerosurgery

decreasedfrom10.9％to5.8％,differencewassignificant(P＜0.05),control

ratewas100％,incidenceofHAIdroppedby46.8％;handhygiene

implementationrateincreasedfrom27.2％to76.9％,aseptictechnique

implementationrateincreasedfrom76.0％to96.9％,environmental

sanitationincreasedfrom51.0％to90.0％,differencesbeforeandafter

implementationwereallstatisticallysignificant(allP＜0.001).Conclusion

Qualitycontrolcircleactivitiesimplementedjointlybymultiple

departmentscanreducetheincidenceofHAIindepartmentof

neurosurgery,rulescanbeobserved,measurescanbefurtherimproved,itis

worthyofclinicalapplication.

【期刊名称】《