首页|PDCA循环在提高NICU医护人员手卫生正确率中的应用

PDCA循环在提高NICU医护人员手卫生正确率中的应用

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目的 探讨持续质量改进在新生儿重症监护病房(neonatal intensive care unit,NICU)医护人员手卫生管理中的应用效果,以提高手卫生正确率。方法 2022 年 12 月—2023年 11 月应用PDCA循环管理方法对 39 名医护人员手卫生的正确性进行持续质量改进,通过制订计划、对策实施、检查与处理 4 个阶段,及时发现管理中的薄弱环节,不断总结持续改进。对实施质量改进措施前后的手卫生正确率情况进行统计学分析。结果 PDCA循环实施后,医护人员手卫生正确率从49。79%提高到 95。15%,干预前后手卫生正确率比较,差异有统计学意义(P<0。01);同时正确率在不同指征层面上较实施前均有明显提高。结论 应用PDCA循环进行持续质量改进,可以切实有效提高医务人员手卫生正确率。
Application of PDCA Cycle for Improving Hand Hygiene Accuracy Among Health Care Workers in NICU
Objective To explore the application effect of continuous quality improvement in the hand h ygiene management of neonatal intensive care unit(NICU)medical staff,in order to improve the accuracy of hand hygiene.Methods From December 2022 to November 2023,the PDCA cycle management method was applied to continuously improve the accuracy of hand hygiene among 39 medical staff.Through four stages of planning,implementing countermeasures,inspecting and handling,weak links in management were identified in a timely manner,and continuous improvement was summarized.Perform statistical analysis on the accuracy of hand hygiene before and after implementing quality improvement measures.Results After the implementation of the PDCA cycle,the accuracy rate of hand hygiene among medical staff increased from 49.79%to 95.15%.There was a statistically significant difference in the accuracy rate of hand hygiene before and after intervention(P<0.001),and the accuracy rate was significantly improved at different indication levels compared to before implementation.Conclusion The application of PDCA cycle for continuous quality improvement can effectively improve the accuracy of hand hygiene among medical personnel.

hand hygieneaccuracyneonatal intensive care unitPDCA cyclequality improvementmanage

闫甜甜、闫业玲、杨丹、张芳芳

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枣庄市妇幼保健院新生儿科,山东 枣庄 277100

枣庄市立医院普外科,山东 枣庄 277000

手卫生 正确率 新生儿重症监护室 PDCA循环 质量改进 管理

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(13)