二级及以上医疗机构医院感染管理现状及对策  

Current situation and countermeasure of nosocomial infection management in secondary and above medical institutions

作　　者：孙菊华[1] 文琳[1] 何定伦 

机构地区：[1]巴中市中心医院医院感染管理科,四川巴中636000

出　　处：《华西医学》2017年第7期1075-1079,共5页West China Medical Journal

摘　　要：目的了解二级及以上医疗机构医院感染管理现状,发现问题,提出改进对策。方法 2014年10月依据四川省卫生和计划生育委员会2011版《四川省综合医院评审标准》中"19.医院感染管理"评审标准,对18个二级及以上医疗机构医院感染管理工作进行现场督导考核。结果 18个医院的考核平均得分为(84.88±2.58)分,组织架构与制度流程合格率最高(83.33%),导管室合格率最低(33.33%)。结论 18个医院的医院感染管理得到了不同程度的重视,建立健全了医院感染管理组织架构,制定了较完善的规章制度和工作流程,但在重点部门和重点环节上的合格率仍很低,需及时更新管理理念,增加必要的感染控制设施设备、细化控制措施、制定预案流程和质量考核标准并有效执行。Objective To understand the current status of nosocomial infection management in secondary and higher medical institutions in the city to find out the problems and put forward countermeasures. Methods According to the standard of＂l 9. Nosocomia Infection Management＂ in the evaluation standard of Sichuan Provincial General Hospital of 2011, the nosocomial infection management of 18 hospitals at or above grade 2 was supervised and evaluated on site. Results The average score of the 18 hospitals was 84.88±2.58. Organization and management had the highest pass rate （83.33%）, while the catheter room had the lowest （33.33%）. Concusion The 18 hospitals＇ nosocomial infection management has been led to different degrees of attention, to build a hospital management organizational structure, developed a more comprehensive rules and regulations and work processes. But in key sectors and key links, the pass rate is still low, it needs to timely update the management concept, increase the necessary facilities and equipment for sensing and controlling, refine the control measures, formulate the pre-plan process and quality assessment standards and effectively implement.

关 键 词：二级及以上医疗机构 医院感染管理 现状 对策 

分 类 号：R197.323[医药卫生—卫生事业管理]