精细化管理对静脉用药调配中心医院感染防控的效果  

Effect of meticulous management on prevention and control of healthcareassociated infection in pharmacy intravenous admixture service

作　　者：冷萍[1] 李静[1] 刘晓英[1] 毕鹏飞[1] 乔伟立[1] LENG Ping;LI Jing;LIU Xiao-ying;BI Peng-fei;QIAO Wei-li(The Affiliated Hospital of Qingdao University,Qingdao 266003,China)

机构地区：[1]青岛大学附属医院,山东青岛266003

出　　处：《中国感染控制杂志》2018年第4期347-350,共4页Chinese Journal of Infection Control

摘　　要：目的探讨精细化管理模式在静脉用药调配中心(PIVAS)相关感染预防与控制中的应用效果。方法调查2014年1月—2016年12月某院PIVAS相关物品表面卫生、空气培养质量、医务人员手卫生检测合格情况,采取精细化管理措施进行干预并对检测结果进行总结分析。结果 2014—2016年手卫生检测合格率分别为68.18%、81.82%、100.00%。不同年份手卫生检测合格率比较,差异有统计学意义(χ2=2.993,P=0.019)。PIVAS内部小型物体表面、水平层流台表面、生物安全柜表面以及Ⅰ更、Ⅱ更的空气质量检测合格率均提高至2016年的100%。结论加强PIVAS内部工作环节的精细化管理,可有效提高医务人员操作的规范性。Objective To evaluate the application effect of meticulous management mode on prevention and control of infection related to pharmacy intravenous admixture service(PIVAS).Methods Qualified detection results of hygiene status of object surface,air culture quality,hand hygiene of medical staff in PIVAS in a hospital from January 2014 to December 2016 were investigated,meticulous management measures were taken to intervene and analyze the detection results.Results The qualified rates of hand hygiene in 2014-2016 were 68.18%,81.82%,and 100.00%respectively,hand hygiene qualified rates in different years were statistically different(χ2=2.993,P=0.019).Qualified detection rates of surface of small objects,surface of horizontal laminar flow hoods,surface of biosafety cabinets,and air quality of dressing room I and II in PIVAS all increased to 100%in 2016.Conclusion Strengthening meticulous management of the internal work of PIVAS can effectively improve staff’s standardized operation.

关 键 词：静脉药物调配中心 医院感染 精细化管理 质量改进 PIVAS 

分 类 号：R197.323[医药卫生—卫生事业管理]