首页|基于风险矩阵的二甲综合医院医院感染风险评估

基于风险矩阵的二甲综合医院医院感染风险评估

Risk assessment of nosocomial infection in second-class general hospitals based on risk matrix

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目的 应用风险矩阵对二甲综合医院医院感染管理开展风险评估.方法 以2021年某二甲综合医院各科室医院感染患者的发病例次率、感染部位、增加住院时长、增长住院费用、转归、月发病率变异系数,量化医院感染发生可能性及后果指标,对内科、外科、妇儿系统进行风险识别,用百分位数法(P20、P40、P60、P80)对医院感染发生可能性及后果进行等级划分,建立风险矩阵表,分析确定高风险科室.结果 内科系统高风险科室为肿瘤科、老年性疾病科、全科医学科、感染性疾病科;外科系统高风险科室为神经外科、眼耳鼻喉科、骨外科;妇儿系统高风险科室为产科、妇科.结论 基于风险矩阵的医院感染风险评估模型真实、客观地反映了基层医院各科室发生医院感染的风险大小,提示基层医院优先做好高风险普通科室医院感染的防控策略,同时关注新生儿科等重点科室.
Objective To apply the risk matrix to assess the risk of nosocomial infection management in upper second-class general hospitals.Methods The incidence rate,infection site,increased length of hospital stay,increased hospitalization cost,outcome,and monthly incidence variation coefficient of patients with nosocomial infection in each department in 2021 were used to quantify the probability of occurrence and consequence indicators,and the risk identification of internal medicine,surger-y,and obstetrics and gynecology and children systems was carried out.Percentile method(P20,P40,P60,P80)was used to grade the occurrence possibility and consequence,establish the risk matrix table,and analyze and determine the high-risk depart-ments.Results The high-risk departments in internal medicine were oncology department,geriatric disease department,general medicine department and infectious disease department;the high-risk departments in surgical medicine were neurosurgery depart-ment,otolaryngology department and orthopedics department;the high-risk departments in gynecology and pediatrics system were obstetrics and gynecology.Conclusion The risk assessment model of nosocomial infection based on risk matrix truly and objec-tively reflects the risk of nosocomial infection in various departments of primary hospitals,which suggests that primary hospitals should give priority to the prevention and control strategy of nosocomial infection in high-risk general departments,and pay atten-tion to key departments such as neonatology.

risk matrixprimary hospitalrisk assessment

马德辉、韩双海、龙艳

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兴仁市人民医院院感科,562300贵州兴仁

风险矩阵 基层医院 风险评估

2024

中国医院统计
卫生部统计信息中心,滨州医学院

中国医院统计

影响因子:0.564
ISSN:1006-5253
年,卷(期):2024.31(3)