Information system-based continuous improvement of healthcare-associated infection underreporting of a tertiary hospital during its initial establish-ment
Objective To monitor healthcare-associated infection(HAI)through a systematic intelligent informa-tion-based surveillance system,and gradually reduce the underreporting rate of HAI in the newly built tertiary hos-pital through continuous improvement measures.Methods Underreporting rate of HAI in a tertiary hospital at the baseline period of the initial establishment stage(from March to December 2021)was analyzed.Under the monitor of a systematic intelligent information system,intervention measures in the first period(from January to October 2022)focusing on informing the usage path of the system and urging timely reporting;in the second period(from November 2022 to June 2023),intervention measures focusing on improving warning strategies and increasing on-site monitoring frequency were implemented.Differences in HAI underreporting rate before and after taking inter-vention measures were compared.Results The underreporting rate of HAI during the baseline period was as high as 29.14％,which decreased to 5.48％at the first intervention period,and 1.84％at the second intervention peri-od.The diffe-rence in underreporting rates of HAI among three periods was statistically significant(x-=125.659,P＜0.001).The achievement rate and progress rate of continuous improvement at the first,second period were 123.62％and 81.19％,142.63％and 93.69％,respectively.Conclusion Based on a systematic intelligent infor-mation system,HAI underreporting rate at the early stage of the construction of a newly built tertiary hospital can be effectively reduced by adopting a series of continuous improvement measures.
healthcare-associated infectionintelligent information systemcontinuous improvementunderre-porting rate
万方数据
维普
