医院感染漏报原因及干预措施分析  

Analysis of causes of missed report of nosocomial infection and corresponding intervention measures

作　　者：孙敏 赵仙山 Sun Min;Zhao Xianshan(Department of Infection Management, Yuncheng Central Hospital, Yuncheng 044000, China)

机构地区：[1]山西省运城市中心医院感染管理科,044000

出　　处：《中国实用医刊》2019年第5期87-89,共3页Chinese Journal of Practical Medicine

摘　　要：目的了解医院感染的漏报情况,分析漏报原因,探讨减少医院感染漏报的干预措施。方法对运城市中心医院2013—2015年出院患者的病历资料进行回顾性分析。结果2013—2015年共有出院患者154 957例,其中医院感染1 595例,感染率为1.03%;漏报89例,漏报率为5.6%。医院感染漏报发生部位排名前3位的依次是下呼吸道感染、上呼吸道感染、术后切口感染。主要科室分布为:内科有放疗科、血液内科、肾内科、风湿免疫科,以下呼吸道感染及上呼吸道感染为多;外科以术后切口感染及下呼吸道感染为多。漏报的主要原因为医务人员对医院感染诊断标准掌握不准确,对医院感染工作不重视,医院感染的填报流程不合理。结论提高医务人员对感染的诊断能力,精简医院感染病例上报流程,加强医务人员对感染的重视度,增加其上报感染病例的自觉性,可有效减少医院感染的漏报率。Objective To understand the condition of missed report of nosocomial infections, analyze the causes of omission and discuss the intervention measures to reduce the problem. Methods Records of patients discharged from Yuncheng Central Hospital from 2013 to 2015 were retrospectively analyzed. Results A total of 154 957 patients were discharged from 2013 to 2015. Among them, 1 595 patients had nosocomial infection, with the infection rate of 1.03%, and 89 cases were omitted to be reported, with the missed rate of 5.6%. The top three locations of missed nosocomial infections were lower respiratory tract, upper respiratory tract and surgical wound. The main departments were radiotherapy department, hematology department, renal medicine department, rheumatology and immunology department, in which lower respiratory tract infections and upper respiratory tract infections were more common. Postoperative wound infections and lower respiratory tract infections were the most common diseases in surgery department. The main reasons for missed report were that the medical staff did not master the diagnostic criteria of nosocomial infection accurately, did not pay attention to the work of nosocomial infection, and the filling process of nosocomial infection was unreasonable. Conclusions Improving the ability of medical staff to diagnose infections, streamlining the reporting process of nosocomial infections, strengthening the focus of medical staff on infections and promoting their awareness of reporting infections can effectively reduce the rate of missed reports of nosocomial infections.

关 键 词：医院感染 漏报 原因 干预措施 

分 类 号：R197.323[医药卫生—卫生事业管理]