基于系统化智能信息体系持续改进某三级医院建院初期医院感染漏报情况  

Information system-based continuous improvement of healthcare-associated infection underreporting of a tertiary hospital during its initial establishment

作　　者：季琴 乔美珍 王秀珍 JI Qin;QIAO Mei-zhen;WANG Xiu-zhen(Department of Infection Management,The Fourth Affiliated Hospital of Soochow University,Suzhou 215000,China)

机构地区：[1]苏州大学附属第四医院感染管理处,江苏苏州215000

出　　处：《中国感染控制杂志》2024年第12期1567-1572,共6页Chinese Journal of Infection Control

摘　　要：目的基于系统化智能信息体系监测医院感染,通过持续改进措施阶段性降低某新建三级医院感染漏报率。方法分析某三级医院建院初期的基线期(2021年3—12月)医院感染漏报率,在系统化智能信息体系的监测下,实施以告知系统的使用路径与督促及时上报为主的一阶段(2022年1—10月)干预措施和以完善预警策略与增加现场监测频次为主的二阶段(2022年11月—2023年6月)干预措施,比较采取干预措施前后医院感染漏报率的差异。结果基线期医院感染漏报率高达29.14%,干预一阶段的医院感染漏报率下降至5.48%,干预二阶段医院感染漏报率进一步降低至1.84%,3个阶段的医院感染漏报率比较差异具有统计学意义(χ^(2)=125.659,P<0.001)。一阶段持续改进目标达成率123.62%,进步率81.19%;二阶段目标达成率142.63%,进步率93.69%。结论基于系统化智能信息体系,采取系列持续改进措施可有效降低某新建三级医院建院初期的医院感染漏报率。Objective To monitor healthcare-associated infection(HAI)through a systematic intelligent information-based surveillance system,and gradually reduce the underreporting rate of HAI in the newly built tertiary hospital through continuous improvement measures.Methods Underreporting rate of HAI in a tertiary hospital at the baseline period of the initial establishment stage(from March to December 2021)was analyzed.Under the monitor of a systematic intelligent information system,intervention measures in the first period(from January to October 2022)focusing on informing the usage path of the system and urging timely reporting;in the second period(from November 2022 to June 2023),intervention measures focusing on improving warning strategies and increasing on-site monitoring frequency were implemented.Differences in HAI underreporting rate before and after taking intervention measures were compared.Results The underreporting rate of HAI during the baseline period was as high as 29.14%,which decreased to 5.48%at the first intervention period,and 1.84%at the second intervention period.The diffe-rence in underreporting rates of HAI among three periods was statistically significant(χ^(2)=125.659,P<0.001).The achievement rate and progress rate of continuous improvement at the first,second period were 123.62% and 81.19%,142.63% and 93.69%,respectively.Conclusion Based on a systematic intelligent information system,HAI underreporting rate at the early stage of the construction of a newly built tertiary hospital can be effectively reduced by adopting a series of continuous improvement measures.

关 键 词：医院感染 智能信息体系 持续改进 漏报率 

分 类 号：R197.323.4[医药卫生—卫生事业管理]