医院感染管理手册的使用及效果评价  

The Handbook of Nosocomial Infections Management:Evaluation of the Use and Effect

作　　者：卢小莲[1] 唐卫[1] 李亮[1] 张胜[1] 陈杰[1] 

机构地区：[1]解放军第181医院感控科,广西桂林541002

出　　处：《中华医院感染学杂志》2009年第24期3384-3385,共2页Chinese Journal of Nosocomiology

摘　　要：目的促进临床与医技科室医院感染管理的持续改进与提高。方法根据《医院感染管理办法》要求,自行设计临床、医技科室医院感染管理手册,监控员根据手册的各项要求实时检查并记录,医院感染控制科每月审查,每年进行评价,并纳入到医疗质量管理评价中。结果使用管理手册3年来,监控小组的监测能力和各项监测项目明显提高,评价合格率≥96.30%。结论医院感染管理手册有利于促进临床与医技科室医院感染管理的质量与提高。OBJECTIVE To promote the management of nosocomial infections continuous improvement in the clinical and medical technology department.METHODS According to the regulation of nosocomial infections management,a handbook of nosocomial infections management for clinical and medical technology department was designed,and the monitors of nosocomial infection could perform real time inspection and record according require of the handbook.The department of nosocomial infections management examined the monitoring work of clinical and medical technology department every month and summarized every year,and the results were internalized to the valuation of medical quality management.RESULTS After 3 years of the usage of the handbook,the capability of the monitor groups of nosocomial infection and the quality of the all monitoring items were significantly improved;the qualified rates were all above 96.30%.CONCLUSIONS The handbook of nosocomial infections management is useful to improve the quality of nosocomial infections management in the clinical and medical technology department.

关 键 词：医院感染 质量管理 手册 

分 类 号：R197.323[医药卫生—卫生事业管理]