PDCA循环在手卫生持续改进工作中的应用  

Application of PDCA cycle to improve hand hygiene continuously

作　　者：孙睿[1] 陈丽萍[1] 唐燕[1] 谭慕杨[1] 

机构地区：[1]宜宾市第一人民医院医院感染控制办公室,四川宜宾644000

出　　处：《华西医学》2017年第1期60-63,共4页West China Medical Journal

摘　　要：目的应用PDCA循环分析手卫生持续改进工作存在的主要问题,找出原因,落实措施,持续提高手卫生执行率和正确率。方法 2014年1月—6月以PDCA循环法的思路,全面加强培训,增强手卫生意识,加强监管,评价持续改进效果。比较PDCA循环运用前(2013年7月—12月)和运用后(2014年1月—6月)手卫生知识考核情况、手卫生设施增加情况、手卫生用品使用情况及手卫生执行情况。结果运用PDCA循环后,手卫生知识合格率由61.0%提高到88.3%,手卫生用品使用总量由1 817 046 m L增加到3 347 386 mL,手卫生执行率由43.03%提高至71.31%,手卫生执行正确率由62.68%提高至87.68%,差异均有统计学意义(P<0.05);不同手卫生指征的执行率在PDCA实施前后差异均有统计学意义(P<0.05),其中无菌操作前、接触体液后手卫生执行率增长较高(分别为34.56%、34.01%)。结论通过PDCA循环在手卫生工作中的应用,逐渐提高了手卫生的执行率和正确率。Objective To analyze the main problem of continuous hand hygiene improvement by PDCA cycle,find out the causes and carry out corresponding measures,in order to improve hand hygiene management continuously.Methods Between January and June 2014,PDCA cycle was used to strengthen comprehensive training,enhance awareness of hand hygiene,reinforce supervision,and evaluate the effect of continuous hand hygiene improvement.The knowledge of hand hygiene,increase of hand hygiene facilities,use of hand hygiene products and hand hygiene implementation before（from July to December 2013） and after PDCA application（from January to June 2014） were compared and analyzed.Results After the implementation of PDCA cycle,the pass rate of hand hygiene knowledge increased from 61.0% to 88.3%;the total amount of hand hygiene use increased from 1 817 046 mL to 3 347 386 m L;the hand hygiene compliance rate increased from 43.03% to 71.31%;and the correct rate of hand hygiene implementation increased from 62.68% to 87.68%.All the above differences were statistically significant（P〈0.05）.After the implementation of PDCA cycle,the compliance rate of different hand hygiene indications became significantly different（P〈0.05）.The growth rate of hand hygiene implementation before aseptic manipulation and after contact with body fluids were relatively higher（34.56% and 34.01%,respectively）.Conclusion Through the application of PDCA cycle,hand hygiene compliance rate and correct rate have gradually increased.

关 键 词：PDCA循环 手卫生 持续改进 

分 类 号：R197.32[医药卫生—卫生事业管理]