台账联合同质化管理在深圳市81家社区健康服务中心医疗保健相关感染防控工作中的应用  

Application of ledger unified homogenization management in prevention and control of health care-associated infection in 81 community health service centers of Shenzhen

作　　者：吴云雁 李萍 张飞 谢思颖 李侠 唐凤 汪志宏[2] 郭灶耿 WU Yun-yan;LI Ping;ZHANG Fei;XIE Si-ying;LI Xia;TANG Feng;WANG Zhi-hong;GUO Zao-geng(Shenzhen Nanshan Medical Group Headquarter,Shenzhen,Guangdong 518000,China;不详)

机构地区：[1]深圳市南山区医疗集团总部医院感染管理科,广东深圳518000 [2]深圳市第二人民医院全科医学中心,广东深圳518000

出　　处：《中华医院感染学杂志》2024年第2期277-282,共6页Chinese Journal of Nosocomiology

基　　金：深圳市科技计划项目(KJYY20170413162318686)。

摘　　要：目的探讨台账联合同质化管理在社区健康服务中心(简称“社康中心”)医疗保健相关感染防控工作中的应用。方法2021年10月对81家社康中心医疗保健相关感染防控现状进行调查分析,梳理需开展的感染防控工作项目台账,制定同质化的医疗保健相关感染防控制度,制作同质化的操作流程及教学视频,建立医疗保健相关感染质控评分标准,进行同质化的知识及技能培训考核,比较实施1年前后医疗保健相关感染防控工作的效果。结果通过1年的台账联合同质化管理,81家社康中心的医疗保健相关感染防控管理工作全面开展,合计开展26项,其中19项工作实施前后对比,差异具有统计学意义(均P<0.05);10项医疗保健相关感染质控评分项目,其中组织管理、培训考核、应急演练、手卫生管理、消毒管理、职业暴露处理、医疗废物管理等7个项目台账联合同质化管理实施前后比较方面,差异具有统计学意义(P<0.05);6项医疗保健相关感染知识及技能操作考核方面:洗手操作、消毒液配置、医疗保健相关感染暴发处理、二级防护用品穿脱、职业暴露处理、医疗废物封扎等6个项目在台账联合同质化管理实施前后对比,差异具有统计学意义(P<0.05);手卫生依从率从73.38%提升到87.82%(P<0.05);新冠疫情期间未发生工作人员感染。结论台账联合同质化管理有利于规范社康中心医疗保健相关感染防控工作,推进各项工作的开展,并将措施落到实处,有利于提高社康中心医疗保健相关感染防控质量。OBJECTIVE T o explore the application of ledger unified homogenization management in prevention and control of health care-associated infection in community health service centers.METHODS A survey was conduc-ted for the current status of prevention and control of health care-associated infection in 81 community health serv-ice centers in October,2021.The survey aimed to identify the required tasks for nosocomial infection management and establish a project ledger.Additionally,standardized systems,processes and instructional videos for nosoco-mial infection management were developed.A scoring criteria for quality control of nosocomial infection was es-tablished,homogenized training and assessment for nosocomial infection-related knowledge and skills were carried out.The effect on the prevention and control of health care-associated infection was compared before and after the management project was implemented for 1 year.RESULTS The prevention and control of health care-associated infection was fully carried out in all of the 81 community health service centers after the ledger unified homogeniza-tion management was implemented for 1 year,and there were significant differences in 19 of 26 tasks before and after the management project was carried out(all P<0.05).There were significant differences in 7 of 10 scoring items for quality control of nosocomial infection:organization management,training assessment,emergency drill,hand hygiene management,disinfection management,occupational exposure treatment,medical waste manage-ment before and after the ledger unified homogenization management was carried out(P<0.05).There were sig-nificant differences in all of the 6 items for assessment of nosocomial infection knowledge and related operation skills:hand hygiene practice,disposal of disinfectants,treatment of nosocomial infection outbreak,wearing and removing secondary protective equipment,occupational exposure treatment,sealing of medical waste before and after the ledger unified homogenization management was carried ou

关 键 词：社区健康服务中心 台账 同质化管理 医疗保健相关感染 防控 质量 

分 类 号：R197.32[医药卫生—卫生事业管理]