循环质控理念联合风险管理模式在ICU住院患者中的应用  

The Application of the Concept of Cycle Quality Control Combined With Risk Management Model in ICU Inpatients

作　　者：肖伟霞[1] 王翠彩 于月双 XIAO Weixia;WANG Cuicai;YU Yueshuang(Infection Control Office,the People's Hospital of Shouguang,Shouguang Shandong 262700,China;Department of Gastroenterology,the People's Hospital of Shouguang,Shouguang Shandong 262700,China)

机构地区：[1]寿光市人民医院感染管理办公室,山东寿光262700 [2]寿光市人民医院消化内科,山东寿光262700

出　　处：《中国卫生标准管理》2024年第15期149-152,共4页China Health Standard Management

摘　　要：目的探讨重症监护室(intensive care unit,ICU)住院患者中应用循环质控理念联合风险管理模式的效果。方法选取2023年1—5月寿光市人民医院ICU住院患者335例作为对照组,实施常规医院感染管理;选取2023年6—12月ICU住院患者340例作为干预组,实施循环质控理念联合风险管理模式。比较2组管理质量、风险事件、医院感染发生率及患者满意度。结果干预组管理质量(感染监测、组织管理、风险评估、制度建设)评分高于对照组(P<0.05);干预组风险事件发生率(1.47%)低于对照组(4.48%)(P<0.05);干预组医院感染发生率(3.82%)低于对照组(7.46%)(P<0.05);干预组患者满意度(98.24%)低于对照组(95.52%)(P<0.05)。结论循环质控理念联合风险管理模式应用于ICU住院患者中,可提高管理质量,减少风险事件与医院感染发生,促进患者满意度提升,体现了《ICU十大安全目标》的执行标准。Objective To explore the effectiveness of applying the concept of cycle quality control combined with risk management model in hospitalized patients in the ICU.Methods A total of 335 ICU hospitalized patients who were admitted in the People's Hospital of Shouguang from January to May 2023 were selected as the control group,and routine hospital infection management was implemented.A total of 340 ICU hospitalized patients who were admitted from June to December 2023 were selected as the intervention group,and combination of cyclic quality control concept and risk management model was implemented.The management quality,risk events,hospital infection incidence rate,and patient satisfaction in both groups were compared.Results The terms of management quality(infection monitoring,organizational management,risk assessment,and institutional construction)in the intervention group was higher than the control group(P<0.05).The incidence of risk events in the intervention group(1.47%)was lower than the control group(4.48%)(P<0.05).The incidence of hospital infection in the intervention group(3.82%)was lower than the control group(7.46%)(P<0.05).The patient satisfaction in the intervention group(98.24%)was higher than the control group(95.52%)(P<0.05).Conclusion The combination of cyclic quality control concept and risk management model applied to ICU inpatients can improve management quality,reduce risk events and hospital infections,promote patient satisfaction and reflect the implementation standards of the"Ten Safety Goals of ICU".

关 键 词：重症监护室 医院感染管理 循环质控理念 风险管理模式 管理质量 风险事件 

分 类 号：R197[医药卫生—卫生事业管理]