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金华市医疗机构医院感染管理风险评估现况问卷调查

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目的 对金华市各级医疗机构感控风险评估的开展、感控专职人员知晓风险评估技术等现况进行调查。方法 自制感控风险评估相关调查问卷,于 2023 年 8-9 月采用腾讯问卷对在金华市医疗机构工作的 52 名感控专职人员进行调查。调查内容包括人员基本信息、对风险评估的知晓程度、所在医疗机构风险评估开展情况、对医院感控能力及风险隐患的了解情况等。结果 52 名感控专职人员以女性、专业背景为护理学、从事医院感染管理工作≤4 年的人群为主,分别占 96。15%(50/52)、78。85%(41/52)、71。15%(37/52)。其中 49 名(94。23%)接受过感控风险评估培训、43 名(82。69%)参与过感控风险评估工作。53。85%(28/52)的调查对象所在医疗机构能做到全院层面风险评估每年开展 1 次、重点部门(科室)半年开展 1次。超过 48。00%的调查人员认为本医疗机构存在相关院感风险隐患,占比最高的 2 个风险点分别是医院环境清洁与消毒不到位,占 63。46%(33/52);疑似医院感染暴发处置不到位,占61。54%(32/52)。结论 金华市医疗机构院感风险评估制度整体落实到位,感控专职人员大部分都能知晓相关技术且具有一定的实践经验。同时,全面、定期地对风险隐患进行识别、评价、控制与监测,提高评估效果的实用性,防范院感事件的发生,仍是当前及今后管理风险研究的重要趋势。
Questionnaire Survey on Risk Assessment of Nosocomial Infection Management in Medical Institutions in Jinhua City
Objective To investigate the current situation of risk assessment in medical institutions at all levels of Jinhua city and the knowledge of risk assessment technology among professional staff of risk control.Methods Self-made questionnaires related to risk assessment of infection and control,Tencent questionnaire was used in August to September 2023 to investigate 52 full-time staff working in medical institutions in Jinhua city.The survey content includes basic information about the staff,the knowledge of risk assessment techniques,the development of risk assessment and the capabilities of management of healthcare-associated infections in the medical institution where they are located.Results The 52 staff were mainly women,with a professional background in nursing,and engaged in management of healthcare-associated infections for≤4 years,accounting for 96.15%(50/52)、78.85%(41/52)、71.15%(37/52).Among them,49(94.23%)had received training and 43(82.69%)had participated in risk assessment of healthcare-associated infections.53.85%(28/52)of the hospitals where the investigators were located could carry out risk assessments at the hospital-wide level once a year,and key departments(departments)once every six months.More than 48.00%of them believed that there were related healthcare-associated infections risks in their hospital,and the two highest proportion were that the hospital environment was not cleaned and disinfected,accounting for 63.46%(33/52),and the uspected healthcare-associated infections outbreak was not handled in place,accounting for 61.54%(32/52).Conclusion Overall,the risk assessment system of healthcare-associated infections was well implemented in the Jinhua city's hospitals,and most of the staff are familiar with related technologies and have practical experience.It is still an important trend to identify,and control risks comprehensively and regularly,improve the practicality of the assessment results,and prevent the occurrence of healthcare-associated infections in future.

risk assessmentquestionnaire surveyhospital infectionrisk and hidden dangerrisk managementmonitoring

刘丹、徐丽珍、张兰兰、吴丽云、郭玉香、汤秋芳

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浙江大学医学院附属金华医院医院感染管理科,浙江金华 321001

风险评估 问卷调查 医院感染 风险隐患 风险管理 监测

金华市科技计划公益类项目

2022-4-126

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(14)