PDCA在中心血管导管相关血流感染管理中的应用
Application of PDCA in the Management of Cardiovascular Catheter-related Bloodstream Infections
吴增华 1胡倩倩 1李庆德1
作者信息
- 1. 兴义市人民医院,贵州 兴义 562400
- 折叠
摘要
目的:评价PDCA循环管理工具在防控中心血管导管相关血流感染中的应用效果.方法:结合本省、所在地区同级别医疗机构上一年及本机构近三年中心血管导管相关血流感染率,设定本医疗机构2022 年度中心血管导管相关血流感染千日感染率目标值≤0.24‰.依据国家卫生健康委《2021 版血管导管相关感染预防与控制指南》要求,通过现状分析找出本医疗机构中心血管导管相关血流感染控制措施执行不到位的项目为置管时未认真执行手卫生、置管时未执行最大无菌铺单及未每日评估是否保留导管,针对三个项目提出干预控制措施,并监督及评价执行情况.结果:2022 年中心血管导管相关血流感染千日感染率为0.14‰,达到预期设定目标;置管科室非手触式手消毒设施配备率由0%上升到 100%;最大无菌铺单使用率由 20.76%上升到 88.14%;拔管评估率由项目开展前 0%上升到 63.45%.结论:通过PDCA循环管理工具开展中心血管导管相关血流感染防控工作,完成感染率目标值,医疗机构针对性提高了防控措施执行率,保障患者安全,可以推广.
Abstract
Objective:To evaluate the application effect of PDCA management tool in the prevention and control of central vascular catheter-related bloodstream infections.Methods:Based on the central vascular catheter-related bloodstream infection rates of medical institutions at the same level in this province and region in the previous year and in the past three years,the target value of the thousand day central vascular catheter-related bloodstream infection rate for this medical institution in 2022 is set to be≤0.24 ‰.According to the＂2021 Guidelines for the Prevention and Control of Vascular Catheter Related Infections＂issued by the Nation-al Health Commission,through current situation analysis,it was found that the inadequate implementation of blood flow infection control measures related to central vascular catheters in this medical institution is due to the lack of careful hand hygiene during catheterization,failure to implement maximum sterile laying during catheter-ization,and failure to evaluate whether catheters are retained on a daily basis.Intervention and control measures are proposed for these three items,and the implementation status is monitored and evaluated.Results:The thousand day infection rate of central vascular catheter-related bloodstream infections in 2022 was 0.14 ‰,meeting the expected target;The provision rate of non hand touch hand disinfection facilities in the department of placement management has increased from 0%to 100%;The maximum sterile laying utilization rate has in-creased from 20.76%to 88.14%;The evaluation rate of extubation has increased from 0%before the project was launched to 63.45%.Conclusion:By using the PDCA management tool for blood flow infection prevention and control,the target infection rate can be achieved,the implementation rate of prevention and control meas-ures in medical institutions can be improved,and the safety of patients can be ensured,which is worthy of clini-cal promotion.
关键词
PDCA/中心血管导管/血流感染Key words
PDCA/Central vascular catheter/Blood flow infection引用本文复制引用
出版年
2024
NETL
NSTL
维普
万方数据