实用临床医学2024,Vol.25Issue(1) :55-60.DOI:10.13764/j.cnki.lcsy.2024.01.016

PDCA循环结合危险因素管理在提高儿科院内感染控制质量中的应用效果

The PDCA Cycle Management Combined with Risk Factor Management in Nosocomial Infection Control in Department of Pediatrics

刘明 张小霞 李慧鹏
实用临床医学2024,Vol.25Issue(1) :55-60.DOI:10.13764/j.cnki.lcsy.2024.01.016

PDCA循环结合危险因素管理在提高儿科院内感染控制质量中的应用效果

The PDCA Cycle Management Combined with Risk Factor Management in Nosocomial Infection Control in Department of Pediatrics

刘明 1张小霞 1李慧鹏1
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作者信息

  • 1. 萍乡市人民医院儿科,江西萍乡 337000
  • 折叠

摘要

目的 探讨PDCA循环结合危险因素管理在儿科院内感染控制中的应用效果.方法 选取萍乡市人民医院儿科2020年7月至2020年12月住院患儿共851例为对照组,2021年1月至2021年6月的住院患儿共916例为PDCA组.对照组实施常规感染管理,PDCA组实施PDCA循环结合危险因素管理.观察2组患儿院内感染发生率、消毒合格率、医护人员不合规事件发生率.结果 PDCA组患儿的院内感染发生率、医护人员不合规事件总发生率均显著低于对照组(P<0.05).PDCA组物体表面、医护人员手和空气消毒合格率均显著高于对照组(P<0.05或P<0.001).结论 PDCA循环管理结合危险因素管理可有效提高儿科消毒合格率,降低医护人员的不合规事件发生率和住院患儿院内感染发生率.

Abstract

Objective To investigate the effect of plan-do-check-action(PDCA)cycle manage-ment combined with risk factor management in reducing nosocomial infection in Department of Pediatrics.Methods 851 children hospitalized in Department of Pediatrics from July 2020 to De-cember 2020 were established as the control group,and 916 hospitalized children from January 2021 to June 2021 were categorized as the PDCA group.The control group was managed with rou-tine health care,and the study group was treated with PDCA cycle management combined with risk factor management.The incidence of nosocomial infection,the rate of sterilization compli-ance,and the incidence of non-compliance events of medical staff were observed in the two groups.Results The incidence of nosocomial infection and the total incidence of non-compliance events of medical staff in the PDCA group were significantly lower than those in the control group(P<0.05).The pass rates of disinfection of object surfaces,healthcare workers'hands and air in the PDCA group were significantly higher than those in the control group(P<0.05 or P<0.001).Conclusion PDCA cycle management combined with risk factor management can effectively im-prove the pediatric sterilization compliance rate and reduce the incidence of non-compliance events of medical staff and the incidence of nosocomial infection in hospitalized children.

关键词

PDCA循环模式/危险因素/儿科/医院感染

Key words

PDCA cycle management/risk factor management/pediatrics/nosocomial infection

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基金项目

江西省卫健委科技计划项目(202140502)

出版年

2024
实用临床医学
南昌大学

实用临床医学

影响因子:0.818
ISSN:1009-8194
参考文献量23
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