PDCA模式在提高新生儿病房院内感染控制质量中的应用效果分析  

Application effect analysis of PDCA model in improving the quality of nosocomial infection control in neonatal wards

作　　者：司徒妙琼[1] 李诺[1] 甘水凤 李艳[1] 陈秋莲[1] 

机构地区：[1]广州市中山大学附属第一医院新生儿科,广东510080

出　　处：《齐齐哈尔医学院学报》2016年第10期1347-1349,共3页Journal of Qiqihar Medical University

基　　金：广东省医学科研指令性课题项目(C2011007)

摘　　要：目的把PDCA管理模式应用于新生儿病房院内感染的控制,并分析其临床效果,为以后的治疗和护理提供理论依据。方法我院新生儿病房从2013年开始应用PDCA循环模式,选取医院未实施PDCA循环模式的时间段:2012年1—12月新生儿病房收治的1000例新生儿患者作为对照组,已经实施PDCA循环模式的时间段2013年1—12月新生儿病房收治的1 000例新生儿患者作为观察组,分析比较在实施PDCA循环模式前后,新生儿物品的无菌检测的合格率,以及新生儿发生感染的情况。结果在实施PDCA循环模式前后两组新生儿病房内物品卫生合格率比较,实施PDCA管理后的这些项目的卫生合格率明显高于实施PDCA之前,且差异明显,有统计学意义,P<0.05;观察组(即实施PDCA管理后)感染肺炎的例数是20例,感染率是2.0%,腹胀的例数是20例,发生率是2.0%,没有感染鹅口疮的病例;对照组(即实施PDCA管理前)感染肺炎的例数是58例,感染率是5.8%,腹胀的例数是20例,发生率是3.8%,感染鹅口疮的例数是19例,感染率是1.9%。结果表明,观察组的肺炎、坏死性小肠结肠炎和鹅口疮的感染率明显低于对照组,且差异明显,具有统计学意义,P<0.05。结论 PDCA管理模式应用于新生儿病房,能加强新生儿院感的控制,有效降低新生儿院感的发生率,值得临床推广使用。Objective The PDCA management model applied to control neonatal ward hospital infection control,and analyze its clinical effect,provide a theoretical basis for future treatment and care. Methods The hospital neonatal ward from 2013 began to apply the PDCA cycle mode,selected the period when the hospital did not implement the PDCA cycle mode： January,2012-December,2012,1,000 cases of neonatal patients admitted to the neonatal unit as a control group,time has implemented the PDCA cycle mode segment in January 2013-December 2013,1,000 cases of neonatal patients admitted to the neonatal unit as the observation group,the analysis compared before and after the implementation of PDCA cycle mode,with a pass rate of sterility testing of newborn items and the case of neonatal infection. Results Compared of hygiene items within two neonatal ward pass rate before and after the implementation of the PDCA cycle model,the implementation of these projects PDCA management of health after passing rate was significantly higher than before the implementation of PDCA,and the difference was significant,statistically significant,P 0. 05; the number of cases of the observation group（ ie,after the implementation of PDCA management） was 20 cases of pneumonia infection,the infection rate was2. 0%,the number of cases was 20 cases of bloating,the incidence was 2. 0%,the number of patients with no infection thrush; the control group（ ie before the implementation of PDCA management） Number of cases of pneumonia were 58 cases,the infection rate was 5. 8%,the number of cases was 20 cases of bloating,the incidence was 3. 8%,the number of cases of infection thrush is 19 cases,the infection rate was 1. 9%. The results showed that pneumonia,gastritis,and thrush infection rate was significantly lower than the control group,the observer,and the difference was significant,with statistical significance,P 0. 05. Conclusions PDCA management model used in neonatal ward, which can strengthen the control of nosocomial infection, and effectively red

关 键 词：PDCA模式 新生儿病房 院内感染 控制治疗 效果 

分 类 号：R19[医药卫生—卫生事业管理]