预防急诊颅脑手术术后下呼吸道感染的环节质量控制  

The targeted surveillance and intervention on procedure quality control to prevent lower respiratory tract infection after emergency craniocerebral surgery

作　　者：周海英 刘船 于丽华 于向英 侯艳玲 

机构地区：[1]威海市中心医院,264400

出　　处：《国际医药卫生导报》2017年第10期1492-1496,共5页International Medicine and Health Guidance News

基　　金：威海市科技发展计划项目（2012GNS044-12）

摘　　要：目的通过监控、改进急诊颅脑手术病人围手术期呼吸道管理的环节质量，预防急诊颅脑手术术后下呼吸道感染（postoperative lower rspiratory tract infection，PLRTI）。方法2011-2015年，通过推行急诊颅脑手术病人围手术期呼吸道管理质量评价标准、操作规程，促进各环节质量改进；通过监测各环节合格率和同期PLRTI发生率，评价环节质量改进对预防PLRTI的效果。结果2011年至2015年，共监测1214例颅脑急诊手术病人，同期PLRTI发病率从36．80例／千导管日下降至5．68例／千导管日。结论通过监控急诊颅脑手术病人围手术期呼吸道管理的环节质量可以有效降低医院内PLRTI发生率。Objective To prevent postoperative lower respiratory tract infection （PLRTI） ot emergency craniocerebral surgery through surveillance and improvement on procedure quality of managing respiratory tract in all aspects during perioperative period for emergency craniotomy patients. Methods From 2011 to 2015, by means of implementing quality evaluation standard and operating procedures of managing respiratory tract during perioperative period for emergency craniotomy patients, promoted quality improvement in all aspects; through monitoring the pass rate in all procedures and the incidence of PLRTI during the same period, assessed the effect of quality improvement on PLRTI prevention. Results From 2011 to 2015, a total of I 214 emergency craniotomy patients were under surveillance, and during the same period the incidence of PLRTI declined from 36.80 cases per 1 000 catheter days to 5.68 cases per 1 000 catheter days. Conclusion Through surveilling procedure quality of managing respiratory tract during perioperative period for emergency craniotomy patients, the incidence of PLRTI in hospitals can be effectively reduced.

关 键 词：下呼吸道感染 感染控制 质量控制 颅脑外伤 

分 类 号：R473.6[医药卫生—护理学]