FOCUS-PDCA管理法在医务人员手卫生管理实践  

Practice of FOCUS-PDCA management method in hand hygiene management of medical staff

作　　者：张璇[1] 陈苹[1] 叶志军[1] 王文秋[1] 王海侨[2] Zhang Xuan;Chen Ping;Ye Zhijun;Wang Wenqiu;Wang Haiqiao(Department of Infection Management,Traditional Chinese Medicine Hospital of Foshan City,Guangdong Foshan 528000;Department of Logistics Management,Traditional Chinese Medicine Hospital of Foshan City,Guangdong Foshan 528000)

机构地区：[1]佛山市中医院感染管理科,广东佛山528000 [2]佛山市中医院后勤管理科,广东佛山528000

出　　处：《中国社区医师》2021年第9期188-190,共3页Chinese Community Doctors

摘　　要：目的:分析FOCUS-PDCA管理法在手卫生管理中的效果。方法:运用FOCUS-PDCA管理法,成立手卫生改善工作小组,采用直接观察法在不告知被调查对象的情况下,对全院36个住院科室医务人员进行手卫生执行情况的随机抽样调查。并运用鱼骨图、查检表及柏拉图等工具查找医务人员手卫生依从性较差的真实原因,根据真因制定并落实手卫生改进对策,评价改进效果。比较实施FOCUS-PDCA管理法前后医务人员手卫生依从性情况。结果:实施FOCUS-PDCA管理法后,医务人员手卫生依从率由39.56%提高到61.8%,差异有统计学意义(P<0.05)。结论:应用FOCUS-PDCA管理法进行手卫生工作持续质量改进,可有效促进医务人员手卫生依从性的提高。Objective:To analyze the effect of FOCUS-PDCA management in hand hygiene management.Methods:Using the FOCUS-PDCA management method,a working group on hand hygiene improvement was set up,and the direct observation method was used to conduct a random sampling survey on the implementation of hand hygiene among medical staff in 36 inpatient departments of the whole hospital without informing the subjects.And use fishbone diagram,check table and plato and other tools to find the real cause of poor hand hygiene compliance of medical staff,formulate and implement hand hygiene improvement measures according to the real cause,and evaluate the effect of improvement.The hand hygiene compliance of medical staff before and after the implementation of FOCUS-PDCA management method was compared.Results:After the implementation of FOCUS-PDCA management method,the hand hygiene compliance rate of medical staff increased from 39.56% to 61.8%,the difference was statistically significant(P<0.05).Conclusion:The continuous quality improvement of hand hygiene work by using FOCUS-PDCA management method can effectively improve the hand hygiene compliance of medical staff.

关 键 词：FOCUS-PDCA 手卫生 依从性 医院感染 

分 类 号：R197.323[医药卫生—卫生事业管理]