基于风险矩阵的手术部位感染风险评价研究  

Risk evaluation of surgical site infection based on risk assessment matrix

作　　者：何文英[1,2] 黄新玲[2] 王忠[3] 韩辉[4] 方鹏骞[1] 

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,武汉430030 [2]石河子大学医学院第一附属医院 [3]新疆生产建设兵团医院 [4]山东大学齐鲁医院

出　　处：《中华医院管理杂志》2015年第10期764-767,共4页Chinese Journal of Hospital Administration

基　　金：国家自然科学基金（71073062）;中华医院感染控制研究基金（ZHYG2014-0031）

摘　　要：根据手术部位感染风险特点，在文献分析的基础上，综合运用德尔菲法、问卷调查法、风险矩阵法等，构建手术部位感染风险指标体系及风险量化矩阵，对手术部位感染风险因素进行定级与分类。研究提示，手术技巧和手术时间长是手术部位感染最为关键的风险影响因素，其次是手术室环境维护不到位和患者基础情况评估纠正不足。手术部位感染风险管理，应重点针对影响风险的关键因素进行监控与治理，提高资源的优化利用和手术部位感染防控能力。In view of risk characteristics of surgical site infection,the risk factors of the infection were graded and classified while the risk indicators system and risk assessment matrix for surgical site infection were built,based on literature analysis,integrated use of documents analysis,Delphi method and risk quantification matrix.The study indicated that surgical skills of the surgeon and surgical time length are the most important risk factors,followed by insufficient maintenance of the operating room environment and poor baseline assessment of the patient.Risk control of surgical site infection needs to focus on these key factors,optimize utilization of resources and improve the prevention and control ability of surgical site infection.

关 键 词：手术部位感染 风险因素 风险矩阵 指标体系 控制 

分 类 号：R197.323[医药卫生—卫生事业管理]