PDCA循环管理模式在医院感染预防与控制中的应用  

Application of PDCA Cycle Management Model in Hospital Infection Prevention and Control

作　　者：李华 苏佰芳 LI Hua;SU Baifang(Department of Hospital Infection Management,Ji'nan Zhangqiu District Hospital of Traditional Chinese Medicine,Ji'nan Shandong 250200,China)

机构地区：[1]济南市章丘区中医医院医院感染管理科,山东济南250200

出　　处：《中国卫生标准管理》2024年第10期166-169,共4页China Health Standard Management

基　　金：济南市卫生健康委员会科技计划项目(2023-中-61)。

摘　　要：目的 分析计划-执行-检查-处置(Plan-Do-CheckAct,PDCA)循环管理模式在医院感染预防与控制中的应用效果。方法 选取2021年7月—2023年6月济南市章丘区中医医院收治的430例住院患者作为研究对象。根据干预时间将其分为2组,即2021年7月—2022年6月的214例患者作为对照组,2022年7月—2023年6月的216例患者作为研究组。对照组采取常规院感防控措施预防医院感染,在其基础上研究组采用PDCA循环管理模式进行医院感染预防及控制。比较2组手卫生、环境清洁卫生、无菌技术操作的执行情况及医院感染发生率。结果 研究组医院感染总发生率为2.31%,低于对照组的9.35%,差异有统计学意义(P<0.05)。研究组手卫生、环境清洁卫生、无菌技术操作的执行率分别为98.33%、97.50%、91.67%,高于对照组的81.67%、79.17%、85.00%,差异有统计学意义(P<0.05)。结论 PDCA循环管理模式能够提高医院感染预防与控制质量,降低医院感染发生率。Objective To analyze the application effect of the Plan-Do-Check-Act(PDCA)cycle management model in hospital infection prevention and control.Methods A total of 430 hospitalized patients admitted to Ji'nan Zhangqiu District Hospital of Traditional Chinese Medicine from July 2021 to June 2023 were selected as the study subjects.They were divided into two groups based on the intervention time,214 patients from July 2021 to June 2022 as the control group,and 216 patients from July 2022 to June 2023 as the study group.The control group adopted the routine prevention and control measures to prevent nosocomial infection,on the basis of which the study group adopted the PDCA cycle management mode to prevent and control nosocomial infection.The implementation of hand hygiene,environmental cleanliness,and aseptic techniques between two groups,as well as the incidence of hospital infections were compared.Results The total incidence of nosocomial infection in the study group was 2.31%,which was lower than 9.35%in the control group,and the difference was statistically significant(P<0.05).The implementation rates of hand hygiene,environmental hygiene and aseptic techniques in the study group were 98.33%,97.50%and 91.67%,respectively,higher than 81.67%,79.17%and 85.00%in the control group,the difference was statistically significant(P<0.05).Conclusion The PDCA cycle management model can improve the quality of hospital infection prevention and control,and reduce the incidence of hospital infections.

关 键 词：PDCA循环 医院感染 管理 手卫生 环境清洁卫生 无菌技术 

分 类 号：R183[医药卫生—流行病学]