应用品管圈提高境外旅客医学观察隔离区工作人员感控预防措施达标率  

Quality control circle applied to improve the compliance rate of infection control and prevention measures for staff in the medical observation isolation area for overseas tourists

作　　者：毛爱华 王玉萍 马芬芬 龚佳懿 姚炜 MAO Ai-hua;WANG Yu-ping;MA Fen-fen;GONG Jia-yi;YAO Wei(Department of Hospital Infection Control,Shanghai Pudong Hospital-Fudan University Pudong Medical Center,Shanghai 201399,China;Department of Pharmacy,Shanghai Pudong Hospital-Fudan University Pudong Medical Center,Shanghai 201399,China)

机构地区：[1]上海市浦东医院-复旦大学附属浦东医院院感科,上海201399 [2]上海市浦东医院-复旦大学附属浦东医院药剂科,上海201399

出　　处：《复旦学报（医学版）》2022年第5期747-752,共6页Fudan University Journal of Medical Sciences

基　　金：国家自然科学基金(81900224);上海市卫健委卫生行业临床研究专项青年项目(20214Y0268)。

摘　　要：目的加强境外旅客医学观察隔离区感控管理,不断提高感控预防措施达标率,以保障医患双方的安全。方法2020年3月国内新型冠状病毒肺炎疫情得到控制,境外疫情开始暴发蔓延,作为境外旅客定点筛查医院,为防止境外输入病例造成医院感染,科室开展“提高境外旅客医学观察隔离区工作人员感控预防措施达标率”为主题的品管圈活动,结合现况把握、目标设定、要因分析、对策拟定等确定4项对策实施方案。结果比较品管圈实施前后境外旅客医学观察隔离区工作人员感控预防措施达标率,实施后工作人员感控预防措施达标率由原来的45.08%提升至91.54%,实施前后差异有统计学意义(P<0.001)。目标达标率为84.43%,进步率为108.85%。结论品管圈活动可以提高境外旅客医学观察隔离区工作人员感控预防措施达标率,从而保障患者及工作人员的安全。Objective To ensure the safety of both doctors and patients,we should strengthen the management of infection control in the medical observation isolation area for overseas tourists,and continuously improve the compliance rate of infection control prevention measures.Methods In Mar2020,the domestic COVID-19 was under control,however the overseas epidemic began to spread.As a designated screening hospital for overseas tourists,to prevent the occurrence of nosocomial infections caused by imported cases from abroad,the department carried out quality control prevention circle activities with the theme of“improving the compliance rate of infection control and prevention measures for staff in the medical observation and isolation area of overseas passengers”and determined four countermeasures implementation plans based on current situation grasp,goal setting,cause analysis and countermeasure formulation.Results Compared before and after the implementation of QCC,the compliance rate of the prevention measures of the staff in the medical observation and quarantine area for overseas passengers was increased from 45.08%to 91.54%,and the difference was statistically significant(P<0.001).The target achievement rate was 84.43%,and the progress rate was 108.85%.Conclusion The quality control circle activities can improve the compliance rate of infection control and prevention measures for staff in the medical observation quarantine area for overseas tourists,thereby ensuring the safety of patients and staff.

关 键 词：隔离区 品管圈 感控预防 达标率 境外旅客 

分 类 号：R183.3[医药卫生—流行病学]