院感专职人员开展日常临床查房对提升院感管理质量的作用  

The Role of Full-time Hospital Infection Staff to Carry Out Daily Clinical Rounds in Improving the Quality of Hospital Sense Management

作　　者：周霞[1] ZHOU Xia(Department of Hospital Infection Management,Tengzhou Maternal and Child Health Hospital,Tengzhou Shandong 277599,China)

机构地区：[1]山东省滕州市妇幼保健院医院感染管理办公室,山东滕州277599

出　　处：《中国卫生标准管理》2022年第5期142-145,共4页China Health Standard Management

摘　　要：目的 分析医院感染管理专职人员参与日常临床查房的实施流程和效果评价,及时发现和解决工作中存在的感染隐患问题,降低医院感染的发生。方法 2018年7月—2019年6月开展院感专职人员参与的日常临床查房,由院感专职人员于查房前收集被查科室近3日内的手术及危重患者、发热患者、带管患者等,设定查房的重点目标,对重点患者、重点环节质量进行查、看、问、指导及记录,并多向沟通,最后整合成该患者的查房意见,现场反馈给管床医师和责任护士,同时对各病区总的查房情况形成限期整改报告,跟踪整改效果。结果 通过院感专职人员开展日常临床查房,医务人员感染控制执行力和管理质量不断提升;医院感染病例发生率及报告率明显下降;治疗性使用抗菌药物患者标本送检率明显提高;患者抗菌药物连续使用日数明显缩短;手卫生依从性较前有显著提高;差异均有统计学意义(P <0.05)。结论 感染管理科专职人员参与日常临床查房是完善医院感染管理的重要手段,能有效提升院感专职人员的管理水平和业务技术能力,管理人员与临床医护关系融洽,促进医院感染管理质量的持续改进。Objective To analyze the implementation process and effect evaluation of full-time hospital infection management staff participating in daily clinical ward round in operation department, find and solve problems in time, and reduce the occurrence of hospital infection. Methods From July 2018 to June 2019, full-time staff with hospital sense participated in daily clinical ward rounds. Before ward rounds, full-time staff of hospital sense collected surgical and critical patients, fever patients, patients with tube, etc. in the investigated department in recent three days, set key objectives of ward rounds, and checked, looked at, asked, guided and recorded the quality of key patients and critical links, and communicated with each other in multiple directions. Finally, the team was integrated into the patient’s opinions on ward round, fed back to the doctor in charge of the bed and the responsible nurse on site. Meanwhile, a rectification report within a time limit was formed for the general ward round situation of each ward, and the rectification effect was tracked. Results Through the daily clinical ward rounds carried out by full-time hospital staff, the execution ability and management quality of infection control of medical staff have been continuously improved. The incidence and reporting rate of nosocomial infection cases decreased significantly. The sample submission rate of patients with therapeutic use of antibiotics was significantly improved. The continuous use days of antibiotics in patients were significantly shortened The compliance of hand hygiene was significantly improved. The difference was statistically significant(P < 0.05). Conclusion It is an important means of hospital infection management for full-time staff of infection management department to participate in daily clinical ward rounds in operation department, it can effectively improve the management level and professional technical ability of the full-time hospital infection personnel, and the management personnel have a harmonious relat

关 键 词：医院感染管理 专职人员 日常临床查房 制度化 规范化 持续质量改进 

分 类 号：R197[医药卫生—卫生事业管理]