摘要
目的 了解贵州省市县两级医院感染(院感)管理质量控制(质控)中心建设和运行现状,为推进全省各级院感管理质控中心建设提供对策.方法 2023年9月26 日-10月12 日,依托感控工作间移动网络平台调查问卷,对全省市县两级院感管理质控中心的组建、人员、信息化水平、管理及质控工作开展情况等进行调查.结果 贵州省9个地级市/自治州均成立了市级院感管理质控中心.市级和县级质控中心工作人员专业背景均以护理为主(分别占比36.4％和58.4％),学历以本科为主(分别占70.5％和83.3％).各市县级质控中心均未建立区域内院感管理信息化质控平台.县级质控中心多数无专项经费(87.5％),仍有16个(25.0％)县级质控中心未建立工作及管理的相关制度.各中心开展质控工作的形式主要为组织培训、现场检查及指导评价,且多为不定期进行.结论 贵州省已基本形成了省市县三级院感管理质控体系,但院感管理质控网络仍未完全覆盖所有市县,政策、经费支持和人员配备仍有不足.各级卫生行政部门和质控中心需要统一监测标准与质控规范、加强监管、提升质控能力、完善培训体系,以实现全省质控工作的标准化与规范化,提升质控效率.
Abstract
Objective To understand the current situation of nosocomial infection management quality control centers at the municipal and county levels in Guizhou,so as to provide measures for promoting the construction of nosocomial infections management quality control centers at all levels in Guizhou.Methods From September 26th to October 12th 2023,based on the mobile network platform survey questionnaire of the infection prevention and control workshop,a survey was conducted on the establishment,personnel,information technology level,management,and quality control work of the nosocomial infection management quality control centers at the municipal and county levels in Guizhou.Results Nine prefecture-level cities/autonomous prefectures in Guizhou had established municipal-level nosocomial infection management quality control centers.The professional background of the staff at the municipal and county-level quality control centers was mainly nursing(accounting for 36.4％and 58.4％,respectively),and their educational background was mainly undergraduate(accounting for 70.5％and 83.3％,respectively).No quality control center at the municipal or county level had established an information-based quality control platform for nosocomial infection management within the region.Most county-level quality control centers did not have special funds(87.5％),and there were still 16(25.0％)county-level quality control centers that had not established relevant systems for work and management.The main forms of quality control work carried out by each center were organizing training,on-site inspections,guidance and evaluation,and most of them were conducted irregularly.Conclusions Guizhou has basically formed a quality control system for nosocomial infection management at the provincial,municipal,and county levels.However,the nosocomial infection management quality control network has not fully covered all districts,and policies,funding support,and personnel allocation are still insufficient.Health administrative departments and quality control centers at all levels need to unify monitoring standards and quality control norms,strengthen supervision,improve quality control capabilities,and improve training systems to achieve standardization and normalization of quality control work throughout the province and improve quality control efficiency.
基金项目
贵阳市科技计划(筑科合同[2022]-4-1-5号)
NETL
NSTL
万方数据