The Application of Improved Warning Scoring Identification Combined With Refined Management in PIVAS Infection Prevention and Control
Objective To explore the application effect of improved warning scoring and labeling combined with refined management mode in infection prevention and control of intravenous admixture service(PIVAS).Methods A retrospective analysis was conducted on the relevant data of patients who received PIVAS dispensing drugs at the Second Affiliated Hospital of South China University from January 2021 to February 2023.A total of 500 patients randomly selected from January 2021 to January 2022 were used as the control group,and 500 patients randomly selected from PIVAS from February 2022 to February 2023 were used as the study group.The control group underwent routine management mode,while the research group underwent improved early warning scoring and identification combined with refined management mode.The differences in the incidence of irrational medication,infusion reactions,and infections between the two groups were analyzed.The differences in PIVAS related items and air quality were explored.The differences in hand hygiene of personnel allocation were compared.The difference in infection rates between the three tubes in our hospital's comprehensive ICU and those in the same level of hospital's comprehensive ICU were compared.Results The incidence of irrational drug use(8.00%vs.14.40%),infusion reaction(12.40%vs.19.00%),and infection(6.40%vs.12.60%)in the study group were all lower than those in the control group(P＜0.05).The qualified rates of hygiene testing for small object surfaces(100%vs.83.33%),horizontal laminar flow table surfaces(100%vs.95.83%),biosafety cabinet surfaces(100%vs.93.83%),air settling in changing room I(100%vs.88.10%),and air settling in changing room Ⅱ(100%vs.82.14%)in the research group were all higher than those in the control group(P＜0.05).The qualified rate of hand hygiene testing in the research group(100%vs.82.14%)was higher than that in the control group(P＜0.05).The incidence rate of catheter-related bloodstream infection(1.55%vs.2.64%),the incidence rate of ventilator-associated pneumonia(18.94%vs.23.05%),and the incidence rate of catheter related urinary tract infection(1.11%vs.1.95%)in the comprehensive ICU of the Second Affiliated Hospital of South China University were lower than those in the same level hospitals(P＜0.05).Conclusion The application of a refined management model based on improved early warning scoring management labels in PIVAS hospital infection prevention and control can effectively avoid unreasonable medication,infusion reactions,and infections,reduce the infection rate of the three pipes in the comprehensive ICU,and improve the testing qualification rate of relevant items and air quality in the department,as well as the hand hygiene of personnel.
improved early warning scoring identificationrefined managementintravenous medication dispensing centerinfection prevention and controlinfection rateapplication effect
万方数据
维普
