Construction of a Healthcare-associated Infection Management Quality Evaluation System in Traditional Chinese Medicine Hospital Wards
Objective:To construct a quality evaluation index system of healthcare-associated infection(HAI)management in ward of tertiary traditional Chinese medicine hospitals,so as to comprehensively and objectively evaluate the prevention and control of hospital infection in the ward.Methods:The contents and definitions of indicators was drew up initially by sorting out the relevant standards and specifications of HAI management,reviewing the literature and discussing in research group.Two rounds of modified Delphi method were used to collect the expert opinions from 22 tertiary traditional Chinese medicine hospitals in China,and establish the index system.The weight of indicators at all levels were determined using AHP analytic hierarchy process.Kendall's W is used to evaluate the coordination of experts'opinions on indicator settings.Results:A TCM hospital infection management index system was constructed,which includes 11 primary indicators and 66 secondary indicators.The AHP judgment matrix met the consistency test(CR=0.000).Among the first level indicators,"Dispose of medical equipment and articles","Standard prevention and occupational exposure","HAI monitoring and reporting","Prevention and control of high-risk process",and"Prevention and control of communicable disease and MDRO"have the highest weight,all of which were 0.0931.The Kendall's W of 11 first-level indicators was 0.225,and that of second-level index was 0.186(both P<0.01).Conclusion:The constructed index system for HAI management in wards has high coordination and consistency of expert opinions,and which provide guidance and reference for HAI management in traditional Chinese medicine hospitals.
Traditional Chinese Medicine HospitalWardHealthcare-associated InfectionQuality Evaluation System