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驾照式记分管理在医院感染管理中的应用成效

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目的:探讨驾照式医院感染管理在医院感染防控中的实践效果。方法:江苏省某三甲综合性医院2023年5月开始实施驾照式医院感染管理,采用横断面调查分析法对实施驾照式医院感染管理前后该院医院感染防控措施执行情况进行对比。结果:实施驾照式记分管理后,与记分考核方面相关的医院感染防控行为明显改善,被记分医务人员人次数、被记分总值呈下降趋势。该院抗菌药物治疗前病原学送检率由实施前38。04%上升至实施后52。97%(P<0。001);医院感染管理系统预警处理及时率由实施前80。59%上升至实施后97。03%(P<0。001);环境卫生学监测合格率由实施前98。43%上升至实施后99。62%(P=0。01);医疗废物督查合格率由实施前89。39%上升至实施后96。62%(P=0。03);多重耐药菌防控措施执行率由实施前72。92%上升至实施后83。02%(P<0。001)。结论:驾照式医院感染管理提高了医务人员感染防控意识,有效提升了医院感染防控水平,值得推广应用。
Analysis of the Application Effect of Driving License Scoring Management in Healthcare-associated Infection Management
Objective:This study aimed to analyze the application effect of driving license scoring management in healthcare-associ-ated infection(HAI)management.Methods:A certain grade A tertiary general hospital in Jiangsu Province began to implement driving license scoring management in May 2023.Cross-sectional study was used in the study and implementation of HAI prevention and con-trol measures was analyzed before and after the driving license scoring management.Results:After the implementation of the driving li-cense scoring management,the bad practice behavior of medical staff related to the scoring assessment was significantly improved,and the number of medical staff scored and the total score showed a down-ward trend.The rate of etiology testing before antimicrobial treat-ment in this hospital increased from 38.04% to 52.97% (P<0.001).Rate of promptly dealing with warning information in HAI surveil-lance system increased from 80.59% to 97.03(P<0.001).Qualified rate of environmental hygienic monitoring increased from 98.43% to 99.62% (P=0.01).Qualified rate of medical waste disposal increased from 89.39% to 96.62% (P=0.03).The implementation rate of MDRO prevention and control measures increased from 72.92% to 83.02% (P<0.001).Conclusion:The driving license scoring man-agement raised the awareness of HAI prevention and control among medical staff and effectively improved the level of prevention and control of HAI of the hospital,which is worthy of widespread application.

Healthcare-associated Infection ManagementInfection Prevention and ControlDriving License Management

杨雪晶、王萍、徐建萍、刘建、张亚军

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东南大学医学院附属盐城医院、盐城市第三人民医院感染控制处,江苏 盐城 224000

医院感染管理 感染预防与控制 驾照式管理

江苏省医院协会2023年度医院管理创新研究课题

JSYGY-3-2023-86

2024

江苏卫生事业管理
江苏省医学会

江苏卫生事业管理

影响因子:0.453
ISSN:1005-7803
年,卷(期):2024.35(8)