品管圈在降低颅内肿瘤术后颅内感染中的应用  

Application of quality control circle activities in decreasing intracranial infection after intracranial tumor operation

作　　者：胡婧璇[1] 张文坚[1] 瞿伟军[1] 杨莎[1] 王利君[1] 敬军[1] 徐放明[1] 

机构地区：[1]中南大学湘雅三医院,湖南长沙410013

出　　处：《中国感染控制杂志》2016年第2期120-123,共4页Chinese Journal of Infection Control

摘　　要：目的探讨品管圈(QCC)在降低颅内肿瘤患者术后颅内感染中的作用。方法成立QCC活动小组,确立活动主题,回顾性分析2011年5月—2012年6月某三甲医院颅内肿瘤手术患者术后颅内感染发生情况,分析其原因、设立目标及分析可行性、制定有效整改措施,与2013年1—12月开展QCC活动后的患者(QCC活动后组)颅内感染发生情况进行比较。结果颅内肿瘤患者术后颅内感染发病率由QCC活动前的11.01%(12/109),降至活动后的3.64%(4/110),差异有统计学意义(χ2=4.395,P=0.036);手术时间>4 h抗菌药物追加使用率由QCC活动前的15.63%(5/32)升高至活动后的36.36%(16/44)(χ2=3.985,P=0.046);外科手消毒合格率由50.00%(50/100)升高至75.00%(75/100)(χ2=11.163,P=0.001)。结论 QCC活动降低了颅内肿瘤患者术后颅内感染发病率,同时使圈员掌握了质量管理工具的应用技巧。Objective To explore the effect of quality control circle（QCC）activities on decreasing postoperative intracranial infection in patients with intracranial tumor.Methods QCC activity group was set up and the activity theme was established,postoperative intracranial infections in patients with intracranial tumor in a hospital from May 2011 to June 2012 were analyzed retrospectively,causes of postoperative intracranial infection were analyzed,goals were set,feasibility was analyzed,effective rectification measures were made,and were compared with postoperative intracranial infection in patients after implemented QCC from January to December 2013.Results Postoperative intracranial infection rate in patients with intracranial tumor decreased from11.01%（12/109）before implementing QCC activities to 3.64%（4/110）after implementing QCC activities（χ^2=4.395,P=0.036）;antimicrobial usage rate elevated from15.63%（5/32）to 36.36%（16/44）（χ^2=3.985,P=0.046）when operation time4 hours;qualification rate of surgical hand disinfection elevated from50.00%（50/100）to 75.00%（75/100）（χ^2=11.163,P=0.001）.Conclusion QCC activity can not only reduce the incidence of postoperative intracranial infection in patients with intracranial tumor,but also make participants master the skills of quality management.

关 键 词：品管圈 颅内肿瘤 颅内感染 医院感染 手术部位感染 

分 类 号：R639[医药卫生—外科学]