接近失误管理在手术室院感防控中的应用  

Application of Near-miss Management in Prevention and Control of Nosocomial Infection in Operating Room

作　　者：程锐[1] 王赏利 CHENG Rui;WANG Shang-li(Lishui Hospital of TCM)

机构地区：[1]丽水市中医院

出　　处：《医院管理论坛》2023年第9期65-68,共4页Hospital Management Forum

摘　　要：目的将接近失误管理应用于手术室院感防控中,探讨其对院感质控与手术室院感的影响。方法将2021年7月1日—12月31日实施接近失误管理前的手术室工作人员设为对照组,将2022年1月1日—6月30日实施接近失误管理的同一组工作人员作为干预组。对照组进行手术室常规院感管理,干预组在其基础上实施接近失误院感防控措施,比较两组院感质控不合格率和医务人员对手术室院感接近失误事件的知信行水平。结果干预组手术室物品、空气、医护人员手卫生和使用的消毒液质控不合格率明显低于对照组,干预组医务人员在手术室院感知识、信念和行为三个维度得分以及总分均明显高于对照组,差异具有统计学意义(p<0.01)。结论接近失误管理能够有效降低手术室院感质控不合格率,提高医务人员对手术室院感知信行水平。Objective To apply the near-miss management to the prevention and control of nosocomial infection in operating room,and to explore its influence on the quality control of nosocomial infection in operating room.Methods The operating room staff before the implementation of near-miss management from July 1 to December 31,2021 were set as the control group,and the same group of staff who implemented near-miss management from January 1 to June 30,2022 were set as the intervention group.The control group received routine nosocomial infection management in the operating room,while the intervention group took measures to prevent and control the nosocomial infection due to near-miss management.The unqualified rate of nosocomial infection quality control and the level of medical staff's knowledge,attitude and practice about the nosocomial infection due to near-miss management in the operating room were compared between the two groups.Results The unqualified rate of operating room articles,air,hand hygiene of medical staff and the quality control of disinfectant used in the intervention group was significantly lower than that in the control group,and the scores and total scores of medical staff in the intervention group were significantly higher than those in the control group,with statistical significance(p<0.01).Conclusion Near-miss management can effectively reduce the unqualified rate of quality control of nosocomial infection in operating room and improve the level of medical staff's belief and behavior in nosocomial infection in operating room.

关 键 词：手术室 院内感染 接近失误事件 

分 类 号：R197.3[医药卫生—卫生事业管理]