Application of details management and whole-process supervision mode in the management of multiple drug resistant bacteria
Objective In order to improve the prevention and control management ability of managers and reduce the incidence of hospital infection,the effect of details management and whole-process supervision mode on the prevention and control management of multiple drug resistant bacteria(MDRO)was analyzed.Methods A total of 326 patients admitted to Tengzhou Central People's Hospital from January to December 2019 before the implementation of management were selected.Another 352 patients admitted after management from January to December 2020 were selected.Before management,routine MDRO infection prevention and control measures were implemented,and after management,details management and whole-process supervision management were applied.The effects of two management methods on the prevention and control of MDRO were compared.Results The rate of clinical supervision and implementation of MDRO before management was 81.6％,and the rate of clinical supervision and implementation of MDRO after management was 88.9％.After management,the discovery rate of MDRO was 0.34％,which was higher than that before management with 0.26％,and the difference was statistically significant(x2=4.715,P＜0.05).After management,the detection rate of MDRO was 13.64％,which was higherthan 10.12％before management,and the difference was statistically significant(x2=19.670,P＜0.05).After management,the detection rate of Carbonase resistant Pseudomonas aeruginosa(CRPAE)was 5.84％,which was higher than 3.50％before management,and the difference was statistically significant(x2=4.253,P＜0.05).After management,the hospital infection rate of MDRO was 0.28％,which was lower than that before management with 0.67％,and the difference was statistically significant(x2=5.747,P＜0.05).Conclusion The details management and whole-process supervision mode were applied to the prevention and control management of MDRO,which was help to improve the prevention and control management ability of managers,reduce the incidence of hospital infection.It had certain clinical application value to reduce the occurrence of hospital infection of MDRO.
Details managementWhole-process supervision modeMultiple resistant bacteriaPrevention and control management
万方数据
维普
