基于医院感染监测数据的医院感染管理质量评价  

Quality evaluation of healthcare-associated infection management based on healthcare-associated monitoring data

作　　者：张树敬 张燕[1] 蔡黎霞 庄亦晖 胡晓文[3] ZHANG Shu-jing;ZHANG Yan;CAI Li-xia;ZHUANG Yi-hui;HU Xiao-wen(Department of Healthcare-associated Infection Management,Fudan University Shanghai Cancer Center,Department of Oncology,Shanghai Medical College,Fudan University,Shanghai 200032,China;Department of Laboratory Medicine,Fudan University Shanghai Cancer Center,Department of Oncology,Shanghai Medical College,Fudan University,Shanghai 200032,China;Department of Pharmacy, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China)

机构地区：[1]复旦大学附属肿瘤医院复旦大学上海医学院肿瘤学系医院感染管理科,上海200032 [2]复旦大学附属肿瘤医院复旦大学上海医学院肿瘤学系检验科,上海200032 [3]复旦大学附属肿瘤医院复旦大学上海医学院肿瘤学系药剂科,上海200032

出　　处：《中国感染控制杂志》2021年第12期1139-1143,共5页Chinese Journal of Infection Control

摘　　要：目的分析基于医院感染监测数据的医院感染管理指标,评价医院感染管理质量,为评估医院感染管理水平提供客观依据。方法采用TOPSIS法、秩和比法和灰色关联分析法3种综合评价方法对2014—2020年医院感染质量管理指标进行分析,利用模糊Borda法对单一综合评价结果进行组合评价,获得模糊Borda数Bi值进行排序,Bi值越高管理质量越好。结果评价结果显示,2014—2017年医院感染质量管理较差,2016年医院感染质量管理水平最低,2017年下半年实施精细化管理后,2018—2020年医院感染质量管理明显改善,2020年医院感染管理质量最好,2018年和2019年分别位列第2、3位。结论完善专业的医院感染监测信息化系统是医院感染管理的基础,可为医院感染管理质量评价及发现管理薄弱点提供数据支撑。Objective To analyze the indexes of healthcare-associated infection(HAI)management based on HAI monitoring data,evaluate the quality of HAI management,and provide objective basis for evaluating HAI management level.Methods Three comprehensive evaluation methods(technique for order of preference by similarity to ideal solution[TOPSIS],rank sum ratio[RSR]method and grey relational analysis[GRA])were adopted to analyze the quality management indexes of HAI from 2014 to 2020,the single comprehensive evaluation results were combined for evaluation through fuzzy Borda method,and the fuzzy Borda number Bi value was obtained for ran-king,the higher the Bi value,the better the management quality.Results Evaluation results showed that the quality management of HAI was poor in 2014-2017,lowest in 2016,after the implementation of refined management in the second half of 2017,quality management of HAI was significantly improved in 2018-2020,which was the best in 2020,the quality ranked second and third respectively in 2018 and 2019.Conclusion Improving HAI monitoring information system is the basis of HAI management,which provides data basis for the quality evaluation of HAI management and finding management weak points of management.

关 键 词：医院感染 质量管理 监测 综合评价方法 模糊Borda法 

分 类 号：R197.323.4[医药卫生—卫生事业管理]